Individual provider Active NPI

Kristen Neve McDuffee, MSW, LCSW

  • Clinical Social Worker
  • Apex, NC
National Provider Identifier
1497051825
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007423 Issued in NC
Practice address
300 S Salem St
Suite 300 B-3
Apex, NC 27502-1827
Phone
(919) 260-6091
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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 P004412 NC
Clinical Social Worker 1041C0700X C007423 NC Primary

Addresses

Primary practice location

300 S Salem St
Suite 300 B-3
Apex, NC 27502-1827

Mailing address

318B Dairyland Rd
Chapel Hill, NC 27516-5626
Phone (919) 260-6091

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C007423NCMDClinical Social Worker
P004412NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1497051825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318B DAIRYLAND RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165626",
            "telephone_number": "919-260-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SALEM ST",
            "address_2": "SUITE 300 B-3",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021827",
            "telephone_number": "919-260-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFEE",
        "first_name": "KRISTEN",
        "middle_name": "NEVE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P004412",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.