Active NPI
Julie Kerr, LCSW
- Clinical Social Worker
- Pisgah Forest, NC
National Provider Identifier
1194918276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004713
- Practice address
- 1068 Hart Rd
Pisgah Forest, NC 28768-9187 - Phone
- (828) 399-9871
- Fax
- (828) 885-5220
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | C004713 | NC | Primary |
Addresses
Primary practice location
1068 Hart Rd
Pisgah Forest, NC 28768-9187
Mailing address
PO Box 2272
Hendersonville, NC 28793-2272
Phone (828) 399-9871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106791 | Medicaid | NC |
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 |
|---|---|---|---|
| C004713 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1194918276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2272",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287932272",
"telephone_number": "828-399-9871",
"fax_number": "828-885-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 HART RD",
"city": "PISGAH FOREST",
"state": "NC",
"postal_code": "287689187",
"telephone_number": "828-399-9871",
"fax_number": "828-885-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "JULIE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106791",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pisgah Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.