Individual provider Active NPI

Karyn Marissa Kaminski, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1760926851
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010240 Issued in NC
Practice address
125 Hendersonville Rd
Asheville, NC 28803-2868
Phone
(828) 398-3601
NPI assigned
Dec 8, 2016
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21478 NC
Clinical Social Worker 1041C0700X C010240 NC Primary

Addresses

Primary practice location

125 Hendersonville Rd
Asheville, NC 28803-2868

Mailing address

125 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 398-3601

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
I20240321003724 NC Practitioner - Clinical Social Worker 3870930159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21478NCMDAddiction (Substance Use Disorder) Counselor
C010240NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Area Health Education Center, Inc. Addiction (Substance Use Disorder) CurrentSince Mar 8, 2024 Accepting new patients
Mountain Area Health Education Center, Inc. Addiction (Substance Use Disorder) CurrentSince Mar 8, 2024 Accepting new patients
Mountain Area Health Education Center, Inc. Addiction (Substance Use Disorder) Current Accepting new patients

Locations

125 Hendersonville Rd
Asheville, NC 28803
Phone (828) 579-2100

19 N Ann St
Asheville, NC 28801
Phone (828) 252-8883

218 Elkwood Ave
Ste 102
Asheville, NC 28804
Phone (828) 257-4747

600 Barrett Ln
Asheville, NC 28803
Phone (828) 271-6946

119 Hendersonville Rd
Biltmore Forest, NC 28803
Phone (828) 771-5500

87 Medical Park Dr
Ste B
Brevard, NC 28712
Phone (828) 547-3004

25 Westridge Market Pl
Candler, NC 28715
Phone (443) 865-4662

1542 Cane Creek Rd
Fletcher, NC 28732
Phone (828) 628-8250

56 Medical Park Dr
Franklin, NC 28734
Phone (828) 349-8280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1760926851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-398-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-398-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "KARYN",
        "middle_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21478",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.