Kessonga Giscombe, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014845 Issued in NC

Practice address

3708 Lyckan Pkwy Ste 205
Durham, NC 27707-2586

Phone

(919) 514-3566

NPI assigned

Dec 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1942579271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 EVERAM CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166165",
            "telephone_number": "919-451-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 LYCKAN PKWY STE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072586",
            "telephone_number": "919-514-3566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4006 Barrett Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096617",
            "country_code": "US",
            "telephone_number": "919-451-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GISCOMBE",
        "first_name": "KESSONGA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "187",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lise-Marie Dawn Giovinetti, MSW, LCSWA
• John Garabed Giragos, MD
• Girasol Pediatric Speech Therapy PLLC
• Alex Girden
• Cheryl Lynnette Giscombe, NP, PHD
• Christopher Brett Gitter, MD
• Kimberly Baker Gitter, MSN, ANP
• Given Hands Services LLC
• Kiana Gizzi, PA-C
• Nikki Gladney

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Jul 29, 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.