KATHERINE KORNBERG LCSWA
NPI 1700696325
Social Worker - Clinical in Wake Forest, NC

NPI Status: Active since January 08, 2025

Contact Information

110 CAPCOM AVE STE 202
WAKE FOREST, NC
ZIP 27587
Phone: (310) 359-2539

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  • Individual
  • Female
  • Social Worker
  • Clinical

About KATHERINE KORNBERG

This page provides the complete NPI Profile along with additional information for Katherine Kornberg, a provider established in Wake Forest, North Carolina with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1700696325 assigned on January 2025. The practitioner's primary taxonomy code is 1041C0700X with license number P020287 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1700696325
Provider Name
KATHERINE KORNBERG LCSWA
Gender
Female
Entity Type
Individual
Location Address
110 CAPCOM AVE STE 202 WAKE FOREST, NC 27587
Location Phone
(310) 359-2539
Mailing Address
2112 BELLAIRE AVE RALEIGH, NC 27608
Mailing Phone
(310) 359-2539
Is Sole Proprietor?
No
Enumeration Date
01-08-2025
Last Update Date
01-08-2025
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A clinical social worker like Katherine Kornberg is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Secondary Locations

  • 2112 Bellaire Ave
    Raleigh, NC 27608
    (310) 359-2539

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
P020287
License State
NC
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700696325
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001291234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 2 + 9 + 1 + 2 + 3 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1700696325 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174171383MR. CHRISTOPHER NICHOLAS RIGGAN MSN PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)110 CAPCOM AVE STE 202
WAKE FOREST, NC 27587
(919) 488-1444
1871333575 CHANNETTE TAMEKIA BROWN
Individual
Social Worker110 CAPCOM AVE STE 202
WAKE FOREST, NC 27587
(434) 233-7025
1578396289 SARAH KIEFER EDWARDS
Individual
Counselor (Mental Health)110 CAPCOM AVE STE 202
WAKE FOREST, NC 27587
(919) 867-0360
1235709692HARMONY 360 COUNSELING
Organization
Social Worker (Clinical)110 CAPCOM AVE STE 202
WAKE FOREST, NC 27587
(919) 867-0360
1124832233 COURTNEY STEWARD MSW, LCSWA
Individual
Case Manager/Care Coordinator110 CAPCOM AVE STE 202
WAKE FOREST, NC 27587
(919) 867-0360
1518654466 CANDACE ROSE VIVAS MAC, LPC, CCTP
Individual
Counselor (Professional)110 CAPCOM AVE STE 202
WAKE FOREST, NC 27587
(919) 867-0360
1316820376 ASHLEY THAO LCSWA
Individual
Social Worker (Clinical)110 CAPCOM AVE STE 202
WAKE FOREST, NC 27587
(919) 867-0360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700696325, enumerated in the NPI registry as an "individual" on January 08, 2025

The provider is located at 110 Capcom Ave Ste 202 Wake Forest, Nc 27587 and the phone number is (310) 359-2539

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on January 08, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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