Active NPI
Kathleen Dobbs, LCSW
- Clinical Social Worker
- Burlington, NC
National Provider Identifier
1366461360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005139
- Practice address
- 2732 Ann Elizabeth Dr
Lower Level
Burlington, NC 27215-5111 - Phone
- (336) 227-5050
- NPI assigned
- Jul 19, 2006
- 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 | C005139 | NC | Primary |
Addresses
Primary practice location
2732 Ann Elizabeth Dr
Lower Level
Burlington, NC 27215-5111
Mailing address
2732 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone (336) 227-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106162 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005139 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1366461360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2732 ANN ELIZABETH DR",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155111",
"telephone_number": "336-227-5050",
"fax_number": "336-227-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2732 ANN ELIZABETH DR",
"address_2": "LOWER LEVEL",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155111",
"telephone_number": "336-227-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "KATHLEEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106162",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.