MEDICARE: KIMBERLY PAIGE BICKFORD LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701002857	VA

General Provider Information

NPI Number	:	1245385392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY PAIGE BICKFORD LPC

Provider Business Mailing Address
First Line	:	875 RIO EAST CT
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-8050
Country	:	US
Telephone Number	:	540-820-8377
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 RIO EAST CT
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-8050
Country	:	US
Telephone Number	:	540-820-8377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	06/01/2026

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