Kennedy Grace Vernon, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020931 Issued in NC

Practice address

8045 Arco Corporate Dr Ste 120
Raleigh, NC 27617-2026

Phone

(919) 372-3690

NPI assigned

May 13, 2024

Sex

Female

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

Practice roles

Locations

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.

• Nellie Health PLLC

  dba NC Therapy

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1194595512
  NPD

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1952150096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 GREEN LANTERN ST APT 108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134569",
            "telephone_number": "336-339-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 ARCO CORPORATE DR STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172026",
            "telephone_number": "919-372-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "KENNEDY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anju Verma, MSW, LCSW
• Smita Verma, PT
• Katherine Vermette, LCMHCA
• David Carl Verner, PHD; CPBPPC, NC
• Denise M. Verni, PA-C
• Tedrick Vernon III
• Olivia Vernot, CCC-SLP
• Lorrie Versola, WHNP-BC
• Evodie Versulien, MD
• Vertical Horizon Community Services

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 10, 2024; 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.