Active NPI
Kimber Lee Ashley Mork, LCSW
- Social Worker
- Concord, NC
National Provider Identifier
1073696696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C004859
- Practice address
- 301 Medical Park Dr
Ste 202B
Concord, NC 28025-2981 - Phone
- (704) 403-2626
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 | C004859 | NC | Primary |
Addresses
Primary practice location
301 Medical Park Dr
Ste 202B
Concord, NC 28025-2981
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
709 N Dekalb St
Shelby, NC 28150-3911
Phone (704) 403-2626
Other practice location 2
2608 E 7th St
Ste B
Charlotte, NC 28204-4375
Phone (704) 403-2626
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
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 |
|---|---|---|---|
| C004859 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Social Worker | Past | Accepting new patients |
| Salisbury Psychiatric Associates PC | Past | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Social Worker | Past | Accepting new patients |
Interoperability endpoints
- ambulatory@direct.carolinashealthcare.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Concord, NC
- NPI 1487948600
-
- Psychiatry Physician
- Salisbury, NC
- NPI 1407928674
-
dba Development & Behavioral Pediatrics of the Carolinas
- Developmental - Behavioral Pediatrics Physician
- Concord, NC
- NPI 1033546403
Social Worker
-
dba Development & Behavioral Pediatrics of the Caorlinas - Charlotte
- Developmental - Behavioral Pediatrics Physician
- Charlotte, NC
- NPI 1942637319
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073696696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEDICAL PARK DR",
"address_2": "STE 202B",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252981",
"telephone_number": "704-403-2626"
}
],
"practiceLocations": [
{
"address_1": "709 N Dekalb St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281503911",
"country_code": "US",
"telephone_number": "704-403-2626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2608 E 7th St",
"address_2": "Ste B",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282044375",
"country_code": "US",
"telephone_number": "704-403-2626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORK",
"first_name": "KIMBER",
"middle_name": "LEE ASHLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C004859",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "301 Medical Park Dr",
"address_2": "Ste 202B",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280252981",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.