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

Kimberly McCullough Davis

Individual provider Clinical Social Worker · NPI 1194397133

Kimberly McCullough Davis is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

1909 J N Pease Pl Ste 101
Charlotte, NC 28262-4509
Phone: (980) 313-3020
Fax: (704) 980-8023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P015700 (NC)

Record details

NPI number1194397133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

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