Individual provider Active NPI

Caitlin Eleanor Kline, MSW, P-LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1912279043
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P005803 Issued in NC
Practice address
100 Capitola Dr
Suite 310
Durham, NC 27713-4496
Phone
(919) 474-6400
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P005803 NC Primary

Addresses

Primary practice location

100 Capitola Dr
Suite 310
Durham, NC 27713-4496

Mailing address

4851 Smith Creek Pkwy
Apt. 104
Raleigh, NC 27612-3333
Phone (919) 474-6390

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
P005803NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison & Associates of Raleigh PC CurrentSince Jul 1, 2013 Accepting new patients
Youth Villages Past Accepting new patients
Youth Villages Past Accepting new patients

Locations

2301 Rexwoods Dr
Ste 102
Raleigh, NC 27607
Phone (919) 787-1932

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1912279043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 SMITH CREEK PKWY",
            "address_2": "APT. 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123333",
            "telephone_number": "919-474-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAPITOLA DR",
            "address_2": "SUITE 310",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134496",
            "telephone_number": "919-474-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "CAITLIN",
        "middle_name": "ELEANOR",
        "credential": "MSW, P-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.