Korenee Marianna Walthour, MSW, LCSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010545 Issued in NC

Practice address

304 E Green St
Rockingham, NC 28379-3423

Phone

(910) 817-9181

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Korenee Marianna Webster Former name

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

21St Century Counseling, PLLC 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• 21St Century Counseling, PLLC

  • Clinical Social Worker
  • Rockingham, NC
  • NPI 1689198095

  Clinical, NC

  Medicare reassignment Care Compare group NPD
• Coastal Center, LLC.

  • Mental Health Counselor
  • Coos Bay, OR
  • NPI 1538278536

  Mental Health

  NPD (past)
• Sensible Care, a Medical Corporation

  • Psychiatry Physician
  • Santa Ana, CA
  • NPI 1205368941
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1124159371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E GREEN ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E GREEN ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793423",
            "telephone_number": "910-817-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHOUR",
        "first_name": "KORENEE",
        "middle_name": "MARIANNA",
        "credential": "MSW, LCSW, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008766",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORENEE",
            "last_name": "WEBSTER",
            "middle_name": "MARIANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Cavassine Zatane Wall
• Robert Lee Wallace, LPC
• Amanda Lee Watkins, LCSWA, LMSW
• Amber Alford Watkins, ED. D., BCBA
• Patsy Crouch Webb, FNP-C
• Tracy Taylor Webster, LCSW
• Thomas R Wells Jr., RPH, PHARMD

• All providers in Rockingham, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.