Katherine Cottle Kemble, MSW, P-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P005640 Issued in NC

Practice address

101A E Victoria CT
Greenville, NC 27858-5735

Phone

(252) 321-8080

NPI assigned

Aug 16, 2011

Last updated

Aug 16, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenville Psychiatric Associates, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, NC
  • NPI 1043263528
  NPD (past)
• Mindpath Care Centers, North Carolina, PLLC

  dba Mindpath Health, a practice of, MindPath Care Centers, North Carolina,

  • Psychiatry Physician
  • Durham, NC
  • NPI 1508803214

  Clinical

  NPD (past)
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1699054023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PRINCE RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584941",
            "telephone_number": "252-414-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101A E VICTORIA CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585735",
            "telephone_number": "252-321-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMBLE",
        "first_name": "KATHERINE",
        "middle_name": "COTTLE",
        "credential": "MSW, P-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kelly, M.D.
• Kirsten Kelly
• Melissa Jay Kelly, PTA
• Tyler Kelly, MD
• Kelmira Lathams Readysetgo Speechinc
• Jemelia Kendall, MA, LCAS-A
• Dawn B Kendrick, MD
• Scott Alan Kendrick, MD
• William Thomas Kendrick, M.D.
• Cassidy Kennedy

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, 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 Aug 16, 2011; 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.