Individual provider Active NPI

Katelyn Elizabeth Currie, LCSW-A

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1265044424
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014988 Issued in NC
Practice address
3401 Wilshire Blvd Apt 103
Wilmington, NC 28403-4261
Phone
(910) 336-9384
NPI assigned
Aug 19, 2020
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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 P014988 NC Primary

Addresses

Primary practice location

3401 Wilshire Blvd Apt 103
Wilmington, NC 28403-4261

Mailing address

1501 Dock St
Wilmington, NC 28401-4936
Phone (910) 254-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2024 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P014988NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Carousel Center, Inc. PastSince Aug 23, 2020 Accepting new patients
Triangle Hearing Services, P.a. PastSince Aug 23, 2020 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, 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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1265044424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DOCK ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014936",
            "telephone_number": "910-254-9898",
            "fax_number": "910-254-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 WILSHIRE BLVD APT 103",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034261",
            "telephone_number": "910-336-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURRIE",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.