Individual provider Active NPI

Lindy Warmack Kitchin, LCSW

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1215162284
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006274 Issued in NC
Practice address
502 A Red Banks Road
Greenville, NC 27858-5604
Phone
(252) 758-4810
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006274 NC Primary

Addresses

Primary practice location

502 A Red Banks Road
Greenville, NC 27858-5604

Mailing address

502 A Red Banks Road
Greenville, NC 27858-5604
Phone (252) 758-4810

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130426000000 NC Practitioner - Clinical Social Worker 8921244542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Brody School of Medicine at East Carolina University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

146 Roundabout CT
Rocky Mount, NC 27804-3573
Phone (252) 578-4344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solas Health PLLC CurrentSince Jun 1, 2022 Accepting new patients
Lindy W. Kitchin Counseling PLLC Clinical CurrentSince Nov 18, 2020 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Clinical PastSince Oct 7, 2020 Accepting new patients
Pinehurst OBGYN Associates PA PastSince Jun 1, 2022 Accepting new patients
Interventional Pain & Spine Specialists, PLLC Past Accepting new patients
Greenville Psychiatric Associates, PA Past Accepting new patients

Locations

285 Olmsted Blvd
Ste 1
Pinehurst, NC 28374
Phone (910) 295-7246

8001 Creedmoor Rd
Ste 107
Raleigh, NC 27613
Phone (919) 460-7246

146 Roundabout Ct
Rocky Mount, NC 27804
Phone (252) 578-4344

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1215162284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 A RED BANKS ROAD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585604",
            "telephone_number": "252-758-4810",
            "fax_number": "252-535-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 A RED BANKS ROAD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585604",
            "telephone_number": "252-758-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHIN",
        "first_name": "LINDY",
        "middle_name": "WARMACK",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.