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

Individual provider Clinical Social Worker · NPI 1265120372

Kristian Backman, LCSWA is a Clinical Social Worker in Winterville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

2040 S Park Dr Ste F
Winterville, NC 28590-8945
Phone: (252) 751-0865
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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 P017597 (NC)

Record details

NPI number1265120372
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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