Individual provider Active NPI

Mary Katherine Kapp, MSW, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1891041646
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009046 Issued in NC
Practice address
10 Crispin CT Ste 203D
Asheville, NC 28803-8205
Phone
(828) 250-3700
Fax
(828) 250-3701
NPI assigned
Jul 31, 2012
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X C009046 NC Primary

Addresses

Primary practice location

10 Crispin CT Ste 203D
Asheville, NC 28803-8205

Mailing address

110 Petree Rd
Winston Salem, NC 27106-4402
Phone (336) 931-1800

Other practice location 1

7900 Triad Center Dr
Suite 350
Greensboro, NC 27409-9073
Phone (336) 931-1804

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

LicenseStateTypeSpecialty
C009046NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Villages, Inc. PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1891041646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PETREE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064402",
            "telephone_number": "336-931-1800",
            "fax_number": "336-931-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CRISPIN CT STE 203D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038205",
            "telephone_number": "828-250-3700",
            "fax_number": "828-250-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Triad Center Dr",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274099073",
            "country_code": "US",
            "telephone_number": "336-931-1804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPP",
        "first_name": "MARY KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.