Katharine I Waitt, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004985 Issued in NC

Practice address

206 N Pine St
Aberdeen, NC 28315-2732

Phone

(910) 944-2189

Fax

(910) 944-7443

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Penquis C.a.P., Inc.

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1720087075
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1073512323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N ORANGE AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343826",
            "telephone_number": "910-891-7062",
            "fax_number": "910-892-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N PINE ST",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152732",
            "telephone_number": "910-944-2189",
            "fax_number": "910-944-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITT",
        "first_name": "KATHARINE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1160",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCAS LICENSE NBR.",
            "identifier": "1160",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW CERTIFICATION NBR.",
            "identifier": "C004985",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urgent Cares of America North Carolina Inc. (FastMed Urgent Care)
• Village Caregivers, LLC
• Villagestaffing LLC (Village Home Care)
• Benjamin Hale Wacker, O.D.
• Roger D Waddell, M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1097)
• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Walgreen Co (Walgreens #07096)
• David Michael Wallace, PHARMD
• Tammie C Watkins, PHARMD

• Clinical Social Worker in Aberdeen, NC
• Providers in Aberdeen, 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 Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.