Individual provider Active NPI

Kateryna Chorna, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1992474365
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016632 Issued in NC
Practice address
6336 Andante Ave
Raleigh, NC 27616-1991
Phone
(919) 604-0912
NPI assigned
Sep 9, 2021
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 C016632 NC Primary

Addresses

Primary practice location

6336 Andante Ave
Raleigh, NC 27616-1991

Mailing address

6336 Andante Ave
Raleigh, NC 27616-1991
Phone (919) 604-0912

Other practice location 1

1240 SE Maynard Rd Ste 203
Cary, NC 27511-6946
Phone (919) 636-0762

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
I20240508001253 NC Practitioner - Clinical Social Worker 1557702545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6336 Andante Ave
Raleigh, NC 27616-1991
Phone (919) 604-0912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychologist CurrentSince Mar 26, 2024 Accepting new patients
Katya Care PLLC Clinical CurrentSince Dec 8, 2024 Accepting new patients
Tina Winemiller Therapy LLC PastSince Sep 12, 2021 Accepting new patients
The Counseling Collective, PLLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

Organizations & group practices 4

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1992474365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 ANDANTE AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161991",
            "telephone_number": "919-604-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 ANDANTE AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161991",
            "telephone_number": "919-604-0912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 SE Maynard Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116946",
            "country_code": "US",
            "telephone_number": "919-636-0762",
            "fax_number": "855-678-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHORNA",
        "first_name": "KATERYNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.