Active NPI
Kerry M Dowd, LCSW
- Clinical Social Worker
- Garner, NC
National Provider Identifier
1205452448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C013768
- Practice address
- 51 Montford Dr
Garner, NC 27529-6878 - Phone
- (706) 455-6866
- NPI assigned
- Jun 23, 2020
- 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 | C013768 | NC | Primary |
Addresses
Primary practice location
51 Montford Dr
Garner, NC 27529-6878
Mailing address
51 Montford Dr
Garner, NC 27529-6878
Phone (706) 455-6866
Other practice location 1
136 US 70 Hwy E Ste 201
Garner, NC 27529-3982
Phone (919) 791-5611
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
51 Montford Dr
Garner, NC 27529-6878
Phone (706) 455-6866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C013768 | NC | MD | Clinical Social Worker |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Garner, NC
- NPI 1497462436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1205452448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MONTFORD DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275296878",
"telephone_number": "706-455-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 MONTFORD DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275296878",
"telephone_number": "706-455-6866"
}
],
"practiceLocations": [
{
"address_1": "136 US 70 Hwy E Ste 201",
"address_purpose": "LOCATION",
"city": "Garner",
"state": "NC",
"postal_code": "275293982",
"country_code": "US",
"telephone_number": "919-791-5611",
"fax_number": "919-800-3050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOWD",
"first_name": "KERRY",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.