Kerry-Ann Winebarger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006425 Issued in NC

Practice address

119 W Depot St
Mocksville, NC 27028-2327

Phone

(336) 751-5636

Fax

(336) 751-5696

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Brody School of Medicine at East Carolina University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outreach Management Services LLCGroup PAC ID 6800941923, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Outreach Management Services LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1417080680
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1033347323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 FAIRHILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123215",
            "telephone_number": "919-256-0824",
            "fax_number": "919-256-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W DEPOT ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282327",
            "telephone_number": "336-751-5636",
            "fax_number": "336-751-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEBARGER",
        "first_name": "KERRY-ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Antony White, CCC-SLP
• Dawn Michelle Whitsel, COTA/L
• Nichole Martin Whittaker, CDAC
• Marc Lee Williams, LPC
• Brittani Elaine Wilson, LCSW
• Mark Wise, RPH
• Joshua David Wood
• Amy Alexander Woodfin, PA-C
• Mindy Church Woodie, PHARM. D
• Sandra Stroud Yamane, AGNP-C

• Clinical Social Worker in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.