| Kimberly Brogden, LCSW | |
|
208 Malloy St, Suite E, Goldsboro, NC 27534-4478 | |
| (919) 778-5594 | |
| (919) 778-5633 |
| Full Name | Kimberly Brogden |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 39 Years |
| Location | 208 Malloy St, Goldsboro, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518933324 | NPI | - | NPPES |
| 6106132 | Medicaid | NC | |
| 200173438 | Other | NC | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C001691 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goldsboro Counseling Center Pa | 5890747885 | 6 |
| Entity Name | Goldsboro Counseling Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881651347 PECOS PAC ID: 5890747885 Enrollment ID: O20051207000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Brogden, LCSW 208 Malloy St Ste E, Goldsboro, NC 27534-4478 Ph: (919) 778-5594 | Kimberly Brogden, LCSW 208 Malloy St, Suite E, Goldsboro, NC 27534-4478 Ph: (919) 778-5594 |
Beverly Charmaine Cates, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119 | |
Katrina C Williams, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 E Ash St Ste 300, Goldsboro, NC 27530 Phone: 919-709-1692 | |
Crystal Daye Price, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 | |
Mrs. Mary Anita Vannoske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 Fax: 919-734-9050 | |
Caleb Harding, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 111 S George St, Goldsboro, NC 27530 Phone: 984-444-0586 | |
Courtney Allison Van Kleeck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 E Ash St, Goldsboro, NC 27530 Phone: 252-208-0027 | |
Mr. Albert Bernard Barron, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 Cashwell Dr Ste 3, Goldsboro, NC 27534 Phone: 919-751-8989 Fax: 919-751-1616 |