Healthcare Provider Details

I. General information

NPI: 1982272845
Provider Name (Legal Business Name): MS. KATIE MCCABE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E NC HIGHWAY 54 STE 320
DURHAM NC
27713-2490
US

IV. Provider business mailing address

249 E NC HIGHWAY 54 STE 320
DURHAM NC
27713-2490
US

V. Phone/Fax

Practice location:
  • Phone: 919-907-3334
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number112422-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC018030
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: