Healthcare Provider Details

I. General information

NPI: 1407284813
Provider Name (Legal Business Name): KJERSTIN FOSTER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2013
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 CENTURY PL SE
HICKORY NC
28602-4031
US

IV. Provider business mailing address

2440 CENTURY PL SE
HICKORY NC
28602-4031
US

V. Phone/Fax

Practice location:
  • Phone: 828-431-5600
  • Fax:
Mailing address:
  • Phone: 828-431-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904008310
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: