Individual provider Active NPI

Kathy Likens, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1568466829
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004201 Issued in NC
Practice address
3717 National Drive,
Suite 203
Raleigh, NC 27612
Phone
(919) 238-4400
Fax
(919) 401-6610
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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 C004201 NC Primary

Addresses

Primary practice location

3717 National Drive,
Suite 203
Raleigh, NC 27612

Mailing address

3717 National Drive
Suite 203
Raleigh, NC 27612-4845
Phone (919) 238-4400

Other identifiers 1

IdentifierTypeStateIssuer
6002431MedicaidNC

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
I20100507000810 NC Practitioner - Clinical Social Worker 9436287612 Practice locations: Chapel Hill, NC; Raleigh, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

141 Providence Rd
Suite 100
Chapel Hill, NC 27514-6219
Phone (919) 238-4400

3717 National Dr
Suite 203
Raleigh, NC 27612-4877
Phone (919) 238-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cohesive Pathways, PC Clinical PastSince May 5, 2009 Accepting new patients
Lita W. Russell, PH.D., PLLC PastSince Nov 20, 2022 Accepting new patients
Natalie Jill Dunn, LCSW, PLLC Clinical PastSince Jun 17, 2019 Accepting new patients

Organizations & group practices 3

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1568466829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 NATIONAL DRIVE",
            "address_2": "SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124845",
            "telephone_number": "919-238-4400",
            "fax_number": "919-928-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 NATIONAL DRIVE,",
            "address_2": "SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "919-238-4400",
            "fax_number": "919-401-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKENS",
        "first_name": "KATHY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002431",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.