Healthcare Provider Details

I. General information

NPI: 1235444837
Provider Name (Legal Business Name): KATHRYN R ATKINS MSW, LCSW, LCAS, OSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 MONTE VISTA RD
CANDLER NC
28715-9425
US

IV. Provider business mailing address

934 MONTE VISTA RD
CANDLER NC
28715-9425
US

V. Phone/Fax

Practice location:
  • Phone: 828-367-9188
  • Fax:
Mailing address:
  • Phone: 828-367-9188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC007776
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1861
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: