Individual provider Active NPI

Katherine Emily Loebner

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1356721534
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019210 Issued in NC
Practice address
3326 Durham Chapel Hill Blvd Ste 230a
Durham, NC 27707-6266
Phone
(980) 253-7820
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11344 NC
Clinical Social Worker 1041C0700X P019210 NC Primary

Addresses

Primary practice location

3326 Durham Chapel Hill Blvd Ste 230a
Durham, NC 27707-6266

Mailing address

3326 Durham Chapel Hill Blvd Ste 230a
Durham, NC 27707-6266
Phone (919) 813-0218

Other practice location 1

40 Duke Medicine Cir # 1I
Durham, NC 27710-4000
Phone (919) 684-6271

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P019210NCMDClinical Social Worker
11344NCMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1356721534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD STE 230A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076266",
            "telephone_number": "919-813-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD STE 230A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076266",
            "telephone_number": "980-253-7820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Duke Medicine Cir # 1I",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277104000",
            "country_code": "US",
            "telephone_number": "919-684-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEBNER",
        "first_name": "KATHERINE",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11344",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.