Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimyatta Anderson

Organization Clinical Social Worker · NPI 1730442294

Kimyatta Anderson is a Clinical Social Worker in Farmville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

3707 N Main St
Farmville, NC 27828-1486
Phone: (252) 753-5100
Fax: (252) 753-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C005612 (NC)

Record details

NPI number1730442294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimyatta Anderson — Clinical Director · (252) 753-5100
NPI enumeratedJune 20, 2012
Last updated in NPPESJune 21, 2012
Mailing addressPo Box 4204, Greenville, NC 27836-2204

Other providers in Farmville