Ms Kim K Longbottom, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Wilmington, North Carolina. She graduated from healthcare school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
3904 Oleander Dr, Suite 101, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 790-9500.
Ms Kim K Longbottom is licensed to practice in North Carolina (license number C0044309) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417020173.
Healthcare Provider's Profile
| Full Name | Ms Kim K Longbottom |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 24 Years |
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| Location | 3904 Oleander Dr, Wilmington, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kim K Longbottom graduated from medical school in 2000
NPI Data:
- NPI Number: 1417020173
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 07/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 1658316518
- Enrollment ID: I20100430000636
Medical Identifiers
Medical identifiers for Ms Kim K Longbottom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417020173 | NPI | - | NPPES |
| 1328P | Other | | BCBS |
| 2132551 | Other | NC | CIGNA |
| 6002524 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1085 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C0044309 (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. Ms Kim K Longbottom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kim K Longbottom, LCSW, LCAS
3904 Oleander Dr, Suite 101,
Wilmington, NC 28403-6717
Ph: (910) 790-9500 | Ms Kim K Longbottom, LCSW, LCAS
3904 Oleander Dr, Suite 101,
Wilmington, NC 28403-6717
Ph: (910) 790-9500 |
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