| Katie Pegoraro, Lcsw, Pllc | |
|
219 S East St Raleigh NC 27601-2369 | |
| (170) 378-6563 | |
| Not Available |
| Full Name | Katie Pegoraro, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 219 S East St, Raleigh, North Carolina |
| Authorized Official Name and Position | Kathryn Pegoraro (OWNER) |
| Authorized Official Contact | 7037865638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Pegoraro, Lcsw, Pllc 219 S East St Raleigh NC 27601-2369 Ph: (703) 786-5638 | Katie Pegoraro, Lcsw, Pllc 219 S East St Raleigh NC 27601-2369 Ph: (170) 378-6563 |
| NPI Number | 1730942871 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 8224474077 |
|---|---|
| Medicare Enrollment ID | O20240314003159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730942871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn Pegoraro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548039506 PECOS PAC ID: 9133565989 Enrollment ID: I20240314003511 |
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