Individual provider Active NPI

Linda Hall Killian, LCSW, LCAS

  • Clinical Social Worker
  • Hillsborough, NC
National Provider Identifier
1821037540
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002075 Issued in NC
Practice address
960 Corporate Dr Ste 401
Hillsborough, NC 27278-8560
Phone
(919) 732-3504
Fax
(919) 732-3557
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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 367 NC
Clinical Social Worker 1041C0700X C002075 NC Primary

Addresses

Primary practice location

960 Corporate Dr Ste 401
Hillsborough, NC 27278-8560

Mailing address

PO Box 772
960 Corporate Drive, 401
Hillsborough, NC 27278-0772
Phone (919) 732-3504

Other identifiers 1

IdentifierTypeStateIssuer
6002362MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
367NCMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1821037540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "address_2": "960 CORPORATE DRIVE, 401",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272780772",
            "telephone_number": "919-732-3504",
            "fax_number": "919-732-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CORPORATE DR STE 401",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788560",
            "telephone_number": "919-732-3504",
            "fax_number": "919-732-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "LINDA",
        "middle_name": "HALL",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "367",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002362",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.