Provider Demographics
NPI:1568613008
Name:PULLEY, KIMBERLY CATHCART (LCSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:CATHCART
Last Name:PULLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8276 FRANKLIN LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1815
Mailing Address - Country:US
Mailing Address - Phone:804-837-6156
Mailing Address - Fax:
Practice Address - Street 1:7459 OLD HICKORY DR STE 104
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3631
Practice Address - Country:US
Practice Address - Phone:804-837-6156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040037981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical