Individual provider Active NPI

Katelyn Michelle Chapman, MSW, LCSW

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1144993270
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016503 Issued in NC
Practice address
106 Fountain Brook Cir Ste B
Cary, NC 27511-4478
Phone
(919) 297-8322
NPI assigned
Jul 26, 2021
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P016234 NC
Clinical Social Worker 1041C0700X C016503 NC Primary

Addresses

Primary practice location

106 Fountain Brook Cir Ste B
Cary, NC 27511-4478

Mailing address

106 Fountain Brook Cir Ste B
Cary, NC 27511-4478
Phone (919) 297-8322

Other practice location 1

1415 West Highway 54
Bldg 200, Ste 111
Durham, NC 27707
Phone (919) 297-8322

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C016503NCMDClinical Social Worker
P016234NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Sexual Wellness Center, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1144993270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FOUNTAIN BROOK CIR STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114478",
            "telephone_number": "919-297-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FOUNTAIN BROOK CIR STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114478",
            "telephone_number": "919-297-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 West Highway 54",
            "address_2": "Bldg 200, Ste 111",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27707",
            "country_code": "US",
            "telephone_number": "919-297-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KATELYN",
        "middle_name": "MICHELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016234",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.