Katherine Johanna Pollitt, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018323 Issued in NC

Practice address

309 Progress Dr
Burgaw, NC 28425-3280

Phone

(910) 259-0668

Fax

(910) 259-4526

NPI assigned

Feb 21, 2023

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

Other names 1

• Katherine Johanna Humes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Carolina Psychological and Psychiatric Health SRVS, PA

  • Psychologist
  • Jacksonville, NC
  • NPI 1770561193

  Clinical

  NPD
• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1467150243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126431",
            "telephone_number": "910-343-0145",
            "fax_number": "910-341-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PROGRESS DR",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284253280",
            "telephone_number": "910-259-0668",
            "fax_number": "910-259-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Country Club Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466098",
            "country_code": "US",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-6137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Shipyard Blvd Bldg 600",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284126431",
            "country_code": "US",
            "telephone_number": "910-343-0145",
            "fax_number": "910-341-5779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLITT",
        "first_name": "KATHERINE",
        "middle_name": "JOHANNA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HUMES",
            "middle_name": "JOHANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Kristin Perkinson, LCSW-A
• Taylor Lynn Pico, LCMHCA
• Cassidy Plucker
• Plumb Line Services, Inc.
• Caroline Poe, MA,CCC-SLP
• Valerie C Pollock, DDS, PA
• David L Populus Jr., CPT
• Port Health Services
• Laura Elisabeth Pridgen, MSW, LCSW-A
• Priority Care at Home

• Clinical Social Worker in Burgaw, NC
• Providers in Burgaw, 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 Jan 4, 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.