Individual ProviderKimberly ParkerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address733 Thimble Shoals Blvd Ste 170, Newport News, VA 23606-4260(757) 537-8224(757) 537-5901PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Parker is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1609340611Provider TypeIndividualFull NameParker, KimberlyTitleMissCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/14/2019Last Updated2/11/2024Contact InformationPractice LocationPractice Address733 Thimble Shoals Blvd Ste 170, Newport News, VA 23606-4260Phone(757) 537-8224FaxUnlisted FaxMailing LocationMailing Address3575 Bridge Rd, Ste 228, Suffolk, VA 23435-1800Phone(757) 537-5901FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904010863VirginiaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseC012093North CarolinaProvider IdentifiersIDDescriptionIssuerID1609340611DescriptionOtherIssuerN/AVirginia