Kathryn Jennette Journigan-Douglas, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009281 Issued in NC

Practice address

327 N Laurel St
Lincolnton, NC 28092-2911

Phone

(704) 339-7749

NPI assigned

Oct 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1215570841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N LAUREL ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922911",
            "telephone_number": "704-339-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N LAUREL ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922911",
            "telephone_number": "704-339-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOURNIGAN-DOUGLAS",
        "first_name": "KATHRYN",
        "middle_name": "JENNETTE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "steppingfowardcounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure business email",
            "address_1": "327 N Laurel St",
            "city": "Lincolnton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280922911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.