Provider Demographics
NPI:1487947123
Name:MCGRAW, KIMBERLY PICKELSIMER (LCSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:PICKELSIMER
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30829
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-0829
Mailing Address - Country:US
Mailing Address - Phone:912-713-3705
Mailing Address - Fax:
Practice Address - Street 1:2430 ABERCORN ST UPPR UNITB
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-9131
Practice Address - Country:US
Practice Address - Phone:912-358-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0044351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical