Provider Demographics
NPI:1295984623
Name:CUMBIE, KIMBERLY R (LCSW, LICSW,LCSW-C)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:R
Last Name:CUMBIE
Suffix:
Gender:F
Credentials:LCSW, LICSW,LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 WHIPPOORWILL LN
Mailing Address - Street 2:
Mailing Address - City:HARPERS FERRY
Mailing Address - State:WV
Mailing Address - Zip Code:25425-3581
Mailing Address - Country:US
Mailing Address - Phone:304-724-1573
Mailing Address - Fax:
Practice Address - Street 1:510 BUTLER AVE
Practice Address - Street 2:VAMC-HBPC 413A-2
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25405-9990
Practice Address - Country:US
Practice Address - Phone:304-263-0811
Practice Address - Fax:304-262-1332
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040062071041C0700X
MD132001041C0700X
WVDP009425511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical