Individual provider · Type 1 NPI

Katherine Kornberg, LCSWA

Clinical Social Worker · Wake Forest, NC

NPI number 1700696325 Active

Practice location

110 Capcom Ave Ste 202
Wake Forest, NC 27587-6531

Mailing address

2112 Bellaire Ave
Raleigh, NC 27608-1806

Other practice locations

  • 2112 Bellaire Ave, Raleigh, NC 27608-1806 · (310) 359-2539

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP020287 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1700696325

Katherine Kornberg, LCSWA's National Provider Identifier is 1700696325, issued on Jan 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wake Forest, NC. The record was last updated on Jan 8, 2025.