Active NPI
Rory Ann Kane, LCSWA
- Clinical Social Worker
- Shallotte, NC
National Provider Identifier
1326717935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016810
- Practice address
- 3640 Express Dr
Shallotte, NC 28470-6501 - Phone
- (910) 755-5222
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016810 | NC | Primary |
Addresses
Primary practice location
3640 Express Dr
Shallotte, NC 28470-6501
Mailing address
4612 Randall Pkwy Apt 302
Wilmington, NC 28403-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P016810 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Southeastern United Care LLC | Past | Accepting new patients | |
| Coastal Southeastern United Care LLC | 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.
-
- Community/Behavioral Health Agency
- Bladenboro, NC
- NPI 1093032310
-
dba Coastal Southeastern United Care
- Community/Behavioral Health Agency
- Supply, NC
- NPI 1346477403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1326717935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 RANDALL PKWY APT 302",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 EXPRESS DR",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284706501",
"telephone_number": "910-755-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "RORY",
"middle_name": "ANN",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.