Katherine Taylor Spruill, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008312 Issued in NC

Practice address

4748 Rushing Dr
Wilmington, NC 28409-8968

Phone

(910) 622-1905

NPI assigned

Jun 13, 2011

Last updated

Apr 15, 2021By the provider in NPPES

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

• Miss Katherine Toburen Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1528353109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 RUSHING DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284098968",
            "telephone_number": "910-622-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 RUSHING DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284098968",
            "telephone_number": "910-622-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUILL",
        "first_name": "KATHERINE",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "TAYLOR",
            "middle_name": "TOBUREN",
            "prefix": "MISS",
            "credential": "MSW, LCSW, LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luke Aaron Springer, CADC
• Sharon Springer, MSW
• Clark L Springs, MD
• Regan Margaret Springs
• Sarah Shelton Sproat, PHARMD
• Amy Sue Spurley
• Amanda Spytkowski, NP
• Lyrica Leigh Squires, CTRS, LRT
• SSC Silver Stream Operating Company LLC (Silver Stream Health and Rehabilitation Center)
• SSC Wilmington Operating Company LLC (Wilmington Health and Rehabilitation Center)

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, 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 Apr 15, 2021; 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.