Kenneth Edward Depaul II, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007288 Issued in NC

Practice address

3125 Poplarwood Court
Suite 150
Raleigh, NC 27604-6445

Phone

(919) 872-7373

Fax

(919) 872-3713

NPI assigned

Aug 31, 2009

Sex

Male

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

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1811120397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD COURT",
            "address_2": "SUITE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046445",
            "telephone_number": "919-872-7373",
            "fax_number": "919-872-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD COURT",
            "address_2": "SUITE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046445",
            "telephone_number": "919-872-7373",
            "fax_number": "919-872-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAUL",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Denton, MD
• Gurvinder K Deogun, MD
• Gurvinder S. Deol, MD
• Monal Depani, MD
• Keiko Marie Depasquale, DO
• Dependable Home Care Service
• Dependable Nursing Alliance, PA
• Kathryn Middleton Deplatchett, M.D.
• Anna Katherine Depollo, LCSWA, LCASA
• Depthworks, PLLC

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Feb 11, 2016; 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.