MEDICARE: KATIE PEGORARO, LCSW, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1730942871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATIE PEGORARO, LCSW, PLLC

Provider Business Mailing Address
First Line	:	1100 WAKE FOREST RD STE 100-C
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-1354
Country	:	US
Telephone Number	:	703-786-5638
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 WAKE FOREST RD STE 100-C
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-1354
Country	:	US
Telephone Number	:	919-523-3479
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHRYN PEGORARO
Credential	:	LCSW
Telephone Number	:	703-786-5638

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	12/04/2025

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