Active NPI
Kimberly Ann Cross, LCSW
- Social Worker
- Creedmoor, NC
National Provider Identifier
1043311525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C003274
- Practice address
- 433 Mayview Dr
Creedmoor, NC 27522-7002 - Phone
- (919) 341-4998
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | C003274 | NC | Primary |
Addresses
Primary practice location
433 Mayview Dr
Creedmoor, NC 27522-7002
Mailing address
433 Mayview Dr
Creedmoor, NC 27522-7002
Phone (919) 341-4998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003274 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043311525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 MAYVIEW DR",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275227002",
"telephone_number": "919-341-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 MAYVIEW DR",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275227002",
"telephone_number": "919-341-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C003274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creedmoor, NC
- Cornelius F. Cathcart, Pediatrics, PA (N.C. Pediatric Associates)
- Cortney Couitcher, OT
- Kaitlyn Ann Coyle
- Creedmoor Drug Company
- Creedmoor Wellness Center, PLLC
- Jane Carolyn Crowder, LCSW, LCAS
- Heather Thompson Currin, LPA, LCAS, CCS
- D. H. Lee DMD PA Creedmoor (Creedmoor Dental)
- Tonya N Daniel, CD (DONA), IBCLC
- Glenn B Daniels
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.