Individual provider Active NPI

Kristina Thompson, LCSW

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1790119105
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11467 Issued in FL
Practice address
107 Brook Fryar St
Cary, NC 27519-6199
Phone
(305) 333-6669
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 127435 MA
Clinical Social Worker 1041C0700X C013789 NC
Clinical Social Worker 1041C0700X SW11467 FL Primary
Clinical Social Worker 1041C0700X 14195872-3501 UT

Addresses

Primary practice location

107 Brook Fryar St
Cary, NC 27519-6199

Mailing address

107 Brook Fryar St
Cary, NC 27519-6199
Phone (305) 333-6669

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
I20211110001195 NC Practitioner - Clinical Social Worker 1052602794 Reassigns benefits to 1 organization
Practice locations: Holly Springs, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Linings for Seniors, IncGroup PAC ID 6103137112, 25 clinicians

Practice addresses (Care Compare)

1250 SE Maynard Rd
Suite 204
Cary, NC 27511-6947
Phone (919) 457-1598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127435MAMDClinical Social Worker
C013789NCMDClinical Social Worker
14195872-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Linings for Seniors, Inc. Clinical CurrentSince Feb 1, 2024 Accepting new patients
Kristin McArthur, MD, PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1250 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 457-1598

Organizations & group practices 2

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1790119105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BROOK FRYAR ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196199",
            "telephone_number": "305-333-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BROOK FRYAR ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196199",
            "telephone_number": "305-333-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127435",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013789",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11467",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14195872-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.