Gina Kay Kavanagh, P-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P003615 Issued in NC

Practice address

1000 N 1St St
Suite 1
Albemarle, NC 28001-2833

Phone

(704) 983-2117

Fax

(704) 983-2636

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225177546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9523 LAGUNA AVE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 1ST ST",
            "address_2": "SUITE 1",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012833",
            "telephone_number": "704-983-2117",
            "fax_number": "704-983-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "GINA",
        "middle_name": "KAY",
        "credential": "P-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P003615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P-LCSW",
            "identifier": "P003615",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Brent Joye, M.D.
• Jennifer Anne Joyner, LPC
• Louis Charles Kandl, M.D.
• Karen Korzelius (Sensory Playground OT Clinic)
• Evelina Kartsimaris, MD
• Barbara Grant Kelly
• Kristina L. Kelly, MD
• Edward A Kepp, MD
• Jamaica Kei Kersey, MSW, LCSW-A
• John D Kilde, MD

• Clinical Social Worker in Albemarle, NC
• Providers in Albemarle, 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 Jul 8, 2007; 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.