Individual provider Active NPI

Kathryn Falbo-Woodson, MSW, LCSWA

  • Clinical Social Worker
  • High Point, NC
National Provider Identifier
1033647151
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010487 Issued in NC
Practice address
274 Eastchester Dr Ste 120
High Point, NC 27262-7721
Phone
(336) 542-2992
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P010487 NC Primary

Addresses

Primary practice location

274 Eastchester Dr Ste 120
High Point, NC 27262-7721

Mailing address

1515 Saratoga Blvd
Indian Trail, NC 28079-5749

Other practice location 1

3021 Senna Dr
Matthews, NC 28105-6727
Phone (704) 443-0144

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191126002084 NC Practitioner - Clinical Social Worker 9931532314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P010487NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling Services, PLLC Clinical CurrentSince Jan 14, 2020 Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Walgren Counseling, PLLC Clinical Past Accepting new patients
Iora Health, LLC Past Accepting new patients

Locations

1428 Ellen St
Ste B
Monroe, NC 28112
Phone (704) 226-0413

13663 Providence Rd
Weddington, NC 28104

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1033647151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SARATOGA BLVD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 EASTCHESTER DR STE 120",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627721",
            "telephone_number": "336-542-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3021 Senna Dr",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281056727",
            "country_code": "US",
            "telephone_number": "704-443-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALBO-WOODSON",
        "first_name": "KATHRYN",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.