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

MS. Kim K Longbottom, LCSW, LCAS

Individual provider Clinical Social Worker · NPI 1417020173

MS. Kim K Longbottom, LCSW, LCAS is a Clinical Social Worker in Wilmington, North Carolina. Qualified in 2000, 26 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2006
Specialties on file
2
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

4000 Oleander Dr Ste 202A
Wilmington, NC 28403-6846
Phone: (910) 791-5171
Fax: (910) 781-5777
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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 C0044309 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1085 (NC)

Record details

NPI number1417020173
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCAS
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESMay 16, 2026
Certification dateMay 16, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilmington