Active NPI
Kristy Lynette Mabe, LCSW
- Clinical Social Worker
- King, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C013665
- Practice address
- 232 Newsome Rd
King, NC 27021-8507 - Phone
- (336) 983-0941
- NPI assigned
- Jun 27, 2018
- Last updated
- Aug 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P012576 | NC | |
| Clinical Social Worker | 1041C0700X | C013665 | NC | Primary |
Addresses
Primary practice location
232 Newsome Rd
King, NC 27021-8507
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other practice location 1
865 W Lake Dr
Mount Airy, NC 27030-2157
Phone (336) 719-6100
Other practice location 2
232 Newsome Rd
King, NC 27021
Phone (336) 983-0941
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmabe34252@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
232 Newsome Rd
King, NC 27021-8507
Phone (336) 983-0949
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 89.03
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 90.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C013665 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Clinical | Current | Accepting new patients |
Locations
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
232 Newsome Rd
King, NC 27021
Phone (336) 983-0941
932 Meadowbrook Dr
King, NC 27021
Phone (336) 972-6333
1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
Interoperability endpoints
- kmabe34252@direct.novanthealth.org
- kristy.mabe.p1@direct.daymarkrecovery.nextgenshare.com
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": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1942795323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 NEWSOME RD",
"city": "KING",
"state": "NC",
"postal_code": "270218507",
"telephone_number": "336-983-0941"
}
],
"practiceLocations": [
{
"address_1": "865 W Lake Dr",
"address_purpose": "LOCATION",
"city": "Mount Airy",
"state": "NC",
"postal_code": "270302157",
"country_code": "US",
"telephone_number": "336-719-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "232 Newsome Rd",
"address_purpose": "LOCATION",
"city": "King",
"state": "NC",
"postal_code": "27021",
"country_code": "US",
"telephone_number": "336-983-0941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MABE",
"first_name": "KRISTY",
"middle_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2022-08-23",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P012576",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013665",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmabe34252@direct.novanthealth.org",
"affiliation": "N",
"address_1": "865 W Lake Dr",
"city": "Mount Airy",
"state": "NC",
"country_code": "US",
"postal_code": "270302157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in King, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.