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

Kristin Maddox Vandenbussche, LCSW-A

Individual provider Clinical Social Worker · NPI 1629400981

Kristin Maddox Vandenbussche, LCSW-A is a Clinical Social Worker in Greenville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013

Practice location Address checks out

2245 Stantonsburg Rd Ste O
Greenville, NC 27834-2868
Phone: (252) 752-0483
Fax: (252) 757-3172
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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 P008299 (NC)

Record details

NPI number1629400981
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorYes
NPI enumeratedAugust 8, 2013
Last updated in NPPESAugust 8, 2013

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