Active NPI
Kimberly Ann Schlegel, LCSWA
- Clinical Social Worker
- Carrboro, NC
National Provider Identifier
1215054002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P018116
- Practice address
- 101 Renee Lynn CT
Carrboro, NC 27510-6511 - Phone
- (919) 966-5171
- Fax
- (919) 966-2230
- NPI assigned
- Mar 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Clinical Social Worker | 1041C0700X | P018116 | NC | Primary |
Addresses
Primary practice location
101 Renee Lynn CT
Carrboro, NC 27510-6511
Mailing address
4925 Watkins Rd
Wendell, NC 27591-8239
Phone (919) 368-9155
Other practice location 1
4812 Windblown Ct
Raleigh, NC 27616-0715
Phone (919) 368-9155
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P018116 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina Hospitals at Chapel Hill | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Pediatric Nutrition Registered Dietitian
- Chapel Hill, NC
- NPI 1861415804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1215054002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 WATKINS RD",
"city": "WENDELL",
"state": "NC",
"postal_code": "275918239",
"telephone_number": "919-368-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RENEE LYNN CT",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275106511",
"telephone_number": "919-966-5171",
"fax_number": "919-966-2230"
}
],
"practiceLocations": [
{
"address_1": "4812 Windblown Ct",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276160715",
"country_code": "US",
"telephone_number": "919-368-9155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLEGEL",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2023-09-28",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P018116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.