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

Kimberly Parker, LCSW

Individual provider Clinical Social Worker · NPI 1922502061

Kimberly Parker, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Qualified in 2002, 24 years ago. Practices with Shine Counseling, PLLC, a 3-clinician group and offers telehealth. Licensed in Georgia and North Carolina.

Years since qualifying
24
Licensed in
GA, NC
In the registry since
2018
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1931 J N Pease Pl Ste 104
Charlotte, NC 28262-4540
Phone: (704) 548-1328
Fax: (844) 786-5796
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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 C011428 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence PO12090 (NC)
Clinical Social Worker Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW006397 (GA)

Record details

NPI number1922502061
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 22, 2018
Last updated in NPPESAugust 20, 2023
Certification dateAugust 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Shine Counseling, Pllc — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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