Miss Kimyatta Shevone Anderson, LCSW, MSW - Clinical Social Worker in Farmville, NC

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Miss Kimyatta Shevone Anderson, LCSW, MSW is a Social Worker - Clinical based in Farmville, North Carolina. Miss Kimyatta Shevone Anderson is licensed to practice in North Carolina (license number C005612) and her current practice location is 3707 N Main St, Farmville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (252) 753-5100.

NPI number for Miss Kimyatta Shevone Anderson is 1952521924 and her current mailing address is Po Box 4204, Greenville, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952521924.

Contact Information

Miss Kimyatta Shevone Anderson, LCSW, MSW
3707 N Main St,
Farmville, NC 27828-1486
(252) 753-5100
(252) 753-5121

Map and Direction




Healthcare Provider's Profile

Full NameMiss Kimyatta Shevone Anderson
GenderFemale
SpecialitySocial Worker - Clinical
Location3707 N Main St, Farmville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952521924
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 11/15/2011

Medical Identifiers

Medical identifiers for Miss Kimyatta Shevone Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952521924NPI-NPPES
6106660MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C005612 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kimyatta Shevone Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Kimyatta Shevone Anderson, LCSW, MSW
Po Box 4204,
Greenville, NC 27836-2204

Ph: (252) 753-5100		Miss Kimyatta Shevone Anderson, LCSW, MSW
3707 N Main St,
Farmville, NC 27828-1486

Ph: (252) 753-5100

Reviews and Comments


Social Worker in Farmville, NC

Mandi Danielle Cooke, LCSW, LCAS
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4730 Woodsway Ln, Farmville, NC 27828
Phone: 252-315-0676    
Ms. Victoria Mcdougald, MSW, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 3707 N Main St Ste C, Farmville, NC 27828
Phone: 252-228-9595    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.