Individual provider Active NPI

Kirin Ann Quonce, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1588905327
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014009 Issued in NC
Practice address
2206 Wrightsville Ave Ste a
Wilmington, NC 28403-2406
Phone
(910) 763-6499
Fax
(910) 632-2355
NPI assigned
Mar 4, 2013
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 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 C014009 NC Primary

Addresses

Primary practice location

2206 Wrightsville Ave Ste a
Wilmington, NC 28403-2406

Mailing address

735 Buckeye Rd NE
Leland, NC 28451-4526
Phone (910) 524-0475

Other practice location 1

735 Buckeye Rd NE
Leland, NC 28451-4526
Phone (910) 524-0475

Other identifiers 1

IdentifierTypeStateIssuer
06215190MedicaidNY

Other names 1

  • Kirin Ann Cofano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C014009NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1588905327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BUCKEYE RD NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514526",
            "telephone_number": "910-524-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 WRIGHTSVILLE AVE STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032406",
            "telephone_number": "910-763-6499",
            "fax_number": "910-632-2355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Buckeye Rd NE",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514526",
            "country_code": "US",
            "telephone_number": "910-524-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUONCE",
        "first_name": "KIRIN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06215190",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRIN",
            "last_name": "COFANO",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.