Individual provider Active NPI

Solomon Herbert Kobes, MSW, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1972515393
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004956 Issued in NC
Practice address
101 Conner Dr
Suite 203
Chapel Hill, NC 27514-7038
Phone
(910) 240-5549
Fax
(919) 443-1199
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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 C004956 NC Primary

Addresses

Primary practice location

101 Conner Dr
Suite 203
Chapel Hill, NC 27514-7038

Mailing address

205 Della St
Chapel Hill, NC 27516-6050
Phone (919) 240-5548

Other identifiers 2

IdentifierTypeStateIssuer
2852251OtherNCMEDICARE PTAN
6106445MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000805 NC Practitioner - Clinical Social Worker 9830241660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kids on Up Psychotherapy, Inc.Group PAC ID 1456647171, 2 clinicians

Practice addresses (Care Compare)

101 Conner Dr
Suite 203
Chapel Hill, NC 27514-7038
Phone 91924055482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004956NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kids on Up Psychotherapy, Inc. Clinical CurrentSince May 1, 2016 Accepting new patients

Locations

101 Conner Dr
Ste 203
Chapel Hill, NC 27514
Phone (919) 240-5548

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1972515393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DELLA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166050",
            "telephone_number": "919-240-5548",
            "fax_number": "919-443-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CONNER DR",
            "address_2": "SUITE 203",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147038",
            "telephone_number": "910-240-5549",
            "fax_number": "919-443-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBES",
        "first_name": "SOLOMON",
        "middle_name": "HERBERT",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2852251",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106445",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.