Individual provider Active NPI

Kathryn Pegoraro, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1548039506
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008936 Issued in NC
Practice address
219 S East St
Raleigh, NC 27601-2369
Phone
(703) 786-5638
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008936 NC Primary

Addresses

Primary practice location

219 S East St
Raleigh, NC 27601-2369

Mailing address

219 S East St
Raleigh, NC 27601-2369
Phone (919) 523-3479

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
I20240314003511 NC Practitioner - Clinical Social Worker 9133565989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1100 Wake Forest Rd
Suite 100 C
Raleigh, NC 27604-1354
Phone (919) 523-3479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Pegoraro, LCSW, PLLC Clinical CurrentSince Feb 9, 2024 Accepting new patients

Locations

4601 Lake Boone Trl
Ste 2C
Raleigh, NC 27607
Phone (919) 523-3479

1100 Wake Forest Rd
Ste 100C
Raleigh, NC 27604
Phone (919) 523-3479

219 S East St
Raleigh, NC 27601
Phone (919) 213-8979

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1548039506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S EAST ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276012369",
            "telephone_number": "919-523-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S EAST ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276012369",
            "telephone_number": "703-786-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGORARO",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.