Mary C Kerwin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004047 Issued in NC

Practice address

1517 N Main St
Fuquay Varina, NC 27526-8579

Phone

(931) 216-4943

NPI assigned

Nov 22, 2006

Last updated

May 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1881769818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHRISMILL LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409656",
            "telephone_number": "931-216-4943",
            "fax_number": "615-463-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275268579",
            "telephone_number": "931-216-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "MARY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Thomas Kelly, PHARMD
• Victoria B Kempf
• Carly Kerkhoff
• Louis Todd Kermon Jr.
• Kerr Drug Inc (Kerr Drug)
• Kidspeace National Centers of North America, Inc.
• Kidspeace National Centers of North America, Inc.
• Kidspeace National Centers of North America, Inc.
• Kidzcare Pediatrics, PC
• Saejin Kim, PT, DPT, CLT

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, 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 May 6, 2020; 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.