Active NPI
Kara Ronnessa McKay
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1861240392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020220
- Practice address
- 6321 Raeford Rd
Fayetteville, NC 28304-2810 - Phone
- (910) 485-6336
- Fax
- (888) 972-8390
- NPI assigned
- May 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020220 | NC | Primary |
Addresses
Primary practice location
6321 Raeford Rd
Fayetteville, NC 28304-2810
Mailing address
PO Box 9099
Fayetteville, NC 28311-9079
Phone (910) 485-6336
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P020220 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verna Dority, MSW, CCSW, Inc | Clinical | Current | Accepting new patients |
| Rebirth-Heart and Mind PLLC | Clinical | Past | Accepting new patients |
Locations
6321 Raeford Rd
Fayetteville, NC 28304
Phone (910) 644-0051
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.
-
dba Carolina Counseling Services
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396984225
Clinical
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1831915511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1861240392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9099",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119079",
"telephone_number": "910-485-6336",
"fax_number": "888-972-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6321 RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042810",
"telephone_number": "910-485-6336",
"fax_number": "888-972-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "KARA",
"middle_name": "RONNESSA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.