Emily Hope Kouba, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016570 Issued in NC

Practice address

110 Iowa LN Ste 204
Cary, NC 27511-2400

Phone

(919) 587-8018

NPI assigned

Dec 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1467111468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 FORSYTH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096316",
            "telephone_number": "910-622-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IOWA LN STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112400",
            "telephone_number": "919-587-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5306 Six Forks Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276094468",
            "country_code": "US",
            "telephone_number": "910-622-0985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUBA",
        "first_name": "EMILY",
        "middle_name": "HOPE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suresh B Kota, PH.D.
• Nisha Kotecha, F.N.P.
• Justin Koteff, PHARM.D.
• Venkata M Kothapalli, RPH, PHD
• Kaitlin Torres Kotnik, PA-C
• Paul R Krasner, PHD
• Madeleine Krause
• Julia Joyce Krebs-Martin, LMHC, LCMHC
• Alison Krehely
• Jennifer Kreimer, LCMHC

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.