Kim Elaine Knoeller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008068 Issued in NC

Practice address

49 Lookout PT
Sanford, NC 27332-9666

Phone

(843) 455-2736

Fax

(910) 516-1370

NPI assigned

Nov 26, 2012

Sex

Female

Sole proprietor

Yes

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.

• Counseling Connections Clinical Group, PLLC

  • Counselor
  • Sanford, NC
  • NPI 1306691019
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

• Kim Elaine Winn Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2025.

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1972847366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LOOKOUT PT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273329666",
            "telephone_number": "843-455-2736",
            "fax_number": "910-516-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LOOKOUT PT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273329666",
            "telephone_number": "843-455-2736",
            "fax_number": "910-516-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOELLER",
        "first_name": "KIM",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008068",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "C008068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WINN",
            "middle_name": "ELAINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morgan Klokow
• Mike Knapp, LMBT
• Knecht Chiropractic Center PC
• Andre NMN Knecht, DC
• Brandon Knockum, D.D.S.
• Anna Renee Knowles, PA
• Nicole Koenig, RBT
• Sarah Ann Kokosa, PHARM.D.
• Moya Chin Kombrinck, M.D.
• Erica Konopka, DPT

• All providers in Sanford, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.