Individual provider Active NPI

Kerry Hopson, MSW, LCSW

  • Clinical Social Worker
  • Wake Forest, NC
National Provider Identifier
1417365685
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008923 Issued in NC
Practice address
2006 S Main St Ste 204
Wake Forest, NC 27587-9391
Phone
(919) 575-6103
Fax
(919) 575-6817
NPI assigned
Jul 31, 2014
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008587 VA
Clinical Social Worker 1041C0700X C008923 NC Primary

Addresses

Primary practice location

2006 S Main St Ste 204
Wake Forest, NC 27587-9391

Mailing address

5917 Deep Spring Cir
Wake Forest, NC 27587-6880
Phone (540) 907-3877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150123002250 NC Practitioner - Clinical Social Worker 1759605637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health SystemGroup PAC ID 1052223757, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

1614 NC Hwy 56
Creedmoor, NC 27522-8297
Phone (919) 575-6103

2006 S Main St
Suite 204
Wake Forest, NC 27587-9391
Phone (252) 579-0846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008923NCMDClinical Social Worker
0904008587VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Health System CurrentSince May 16, 2015 Accepting new patients
Granville Health System Current Accepting new patients
Key Change Counseling, PLLC Clinical CurrentSince Jan 16, 2026 Accepting new patients
Granville Health System CurrentSince May 16, 2015 Accepting new patients
Granville Health System CurrentSince Jan 1, 2019 Accepting new patients
Granville Family Medicine PA Past Accepting new patients

Locations

1614 NC Highway 56
Creedmoor, NC 27522
Phone (919) 528-7171

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

102 Professional Park
Ste A
Oxford, NC 27565
Phone (919) 603-1665

110 Professional Park
Oxford, NC 27565
Phone (919) 693-6541

2006 S Main St
Ste 204
Wake Forest, NC 27587
Phone (252) 579-0846

Interoperability endpoints

  • Direct secure messaging: kerryhopson@gvhs.allscriptsdirect.net

Organizations & group practices 6

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": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1417365685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 DEEP SPRING CIR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876880",
            "telephone_number": "540-907-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S MAIN ST STE 204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879391",
            "telephone_number": "919-575-6103",
            "fax_number": "919-575-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPSON",
        "first_name": "KERRY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008587",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.