Organization Active NPI

Katie Pegoraro, LCSW, PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1730942871
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATIE PEGORARO, LCSW, PLLC
Practice address
1100 Wake Forest Rd Ste 100-C
Raleigh, NC 27604-1354
Phone
(919) 523-3479
NPI assigned
Feb 1, 2024
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Kathryn Pegoraro, LCSWNPI 1548039506
Title
Owner
Phone
(703) 786-5638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1100 Wake Forest Rd Ste 100-C
Raleigh, NC 27604-1354

Mailing address

1100 Wake Forest Rd Ste 100-C
Raleigh, NC 27604-1354
Phone (703) 786-5638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240314003159 NC Part B Supplier - Clinic/Group Practice 8224474077 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1730942871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WAKE FOREST RD STE 100-C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041354",
            "telephone_number": "703-786-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WAKE FOREST RD STE 100-C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041354",
            "telephone_number": "919-523-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE PEGORARO, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "PEGORARO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-786-5638",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.