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KATHY ANN MOCK LCSW
NPI 1982922548
Social Worker - Clinical in Cary, NC

Active since May 06, 2010Opted out of Medicare · through Jan 1, 2027
109 FOUNTAIN BROOK CIRCLE, SUITE C, CARY, NC 27511(919) 762-7857(919) 714-8399 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 2, 2017 and 1 more (4 updates tracked since 2017).

About Kathy Ann Mock Lcsw NPPES

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

KATHY ANN MOCK LCSW (NPI 1982922548) is an individual clinical provider in Cary, North Carolina, licensed in North Carolina (C006589) and active in the NPI registry since May 2010. She has opted out of Medicare through January 1, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982922548
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHY ANN MOCKCredential: LCSW
Location Address109 FOUNTAIN BROOK CIRCLE, SUITE CCary, NC 27511
Mailing Address2520 Pleasant RdFuquay Varina, NC 27526-9460 · (919) 762-7857 · Fax (919) 714-8399
Phone(919) 762-7857
Fax(919) 714-8399
Sole ProprietorYes
Enumeration DateMay 6, 2010
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1982922548 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 · C006589
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.
109 FOUNTAIN BROOK CIRCLE, Cary, NC 27511
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1217 Old Grove LnApex, NC 27502-7005 · Phone (919) 449-4313
Location 2602 E Academy St Ste 106Fuquay Varina, NC 27526-2382 · Phone (919) 762-7857 · Fax (919) 714-8399

Other Identifiers 1

Medicaid6007501NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathy Ann Mock Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kathy Mock's NPI number?

The NPI number for Kathy Mock is 1982922548. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Kathy Mock located?

Kathy Mock practices at 109 Fountain Brook Circle Suite C, Cary, NC 27511. The listed phone number is (919) 762-7857.

What is Kathy Mock's specialty?

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

Is Kathy Mock enrolled in Medicare?

No. Kathy Mock has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathy Mock was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.