Active NPI
Katie Jane Leegins-Vinson, LCSW
- Clinical Social Worker
- Winterville, NC
National Provider Identifier
1104014976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002715
- Practice address
- 154 Beacon Dr
Suite I
Winterville, NC 28590-7995 - Phone
- (252) 353-1114
- Fax
- (252) 353-1119
- NPI assigned
- Oct 5, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C002715 | NC | Primary |
Addresses
Primary practice location
154 Beacon Dr
Suite I
Winterville, NC 28590-7995
Mailing address
4300 Sapphire CT Ste 110
Greenville, NC 27834-9079
Phone (252) 830-7561
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 |
|---|---|---|---|
| C002715 | NC | MD | Clinical Social Worker |
Interoperability endpoints
- katie.leegins-vinson.1@27056.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1104014976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SAPPHIRE CT STE 110",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278349079",
"telephone_number": "252-830-7561",
"fax_number": "252-413-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 BEACON DR",
"address_2": "SUITE I",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285907995",
"telephone_number": "252-353-1114",
"fax_number": "252-353-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEGINS-VINSON",
"first_name": "KATIE",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winterville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.