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KATHERINE MAYNOR MSW, LCSW
NPI 1790346872
Social Worker - Clinical in Charlotte, NC

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
5821 FAIRVIEW RD STE 200, CHARLOTTE, NC 28209(980) 580-0639(980) 580-0507 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, Jul 7, 2021 (2 updates tracked since 2021).

About Katherine Maynor Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE MAYNOR MSW, LCSW (NPI 1790346872) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C017301) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790346872
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE MAYNORCredential: MSW, LCSW
Location Address5821 FAIRVIEW RD STE 200Charlotte, NC 28209-3649
Mailing Address4705 University Dr Bldg 700Durham, NC 27707-3489 · (919) 237-1337 · Fax (919) 237-1625
Phone(980) 580-0639
Fax(980) 580-0507
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2019
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1790346872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C017301
Definition
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.
5821 FAIRVIEW RD STE 200, Charlotte, NC 28209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Maynor Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991241366
PECOS Enrollment IDI20240722001684
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Maynor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southpark Psychotherapy PLLC
0.1 mi
Mental Health
5950 FAIRVIEW RD STE 770
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1679285043 (980) 999-0501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAUSHA NYCHELLE LOTHARP LCMHC-A
Counselor (Mental Health)
5821 FAIRVIEW RD STE 200
CHARLOTTE, NC 28209
Mecklenburg County (980) 580-0639
DANIEL ELLISON SEILER NP
Nurse Practitioner (Psychiatric/Mental Health)
5821 FAIRVIEW RD STE 200
CHARLOTTE, NC 28209
Mecklenburg County (980) 580-0639
LUTZ SUE-ELLEN PIERRE PA-C
Physician Assistant
5821 FAIRVIEW RD STE 200
CHARLOTTE, NC 28209
Mecklenburg County (980) 580-0639
KATRINA SUTTON LCMHCA
Counselor (Mental Health)
5821 FAIRVIEW RD STE 200
CHARLOTTE, NC 28209
Mecklenburg County (980) 580-0639
BROOK NICOLE EVANS PA-C
Physician Assistant
5821 FAIRVIEW RD STE 200
CHARLOTTE, NC 28209
Mecklenburg County (704) 826-3550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Maynor's NPI number?

The NPI number for Katherine Maynor is 1790346872. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Katherine Maynor located?

Katherine Maynor practices at 5821 Fairview Rd Ste 200, Charlotte, NC 28209. The listed phone number is (980) 580-0639.

What is Katherine Maynor's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katherine Maynor enrolled in Medicare?

Yes. Katherine Maynor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katherine Maynor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Maynor reassigns Medicare benefits to Southpark Psychotherapy PLLC (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Maynor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Maynor accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Katherine Maynor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Maynor was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.