Healthcare Provider Details

I. General information

NPI: 1912699885
Provider Name (Legal Business Name): KATHERINE CRAIG LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 GUARDIAN AVE
MOREHEAD CITY NC
28557-4323
US

IV. Provider business mailing address

3715 GUARDIAN AVE
MOREHEAD CITY NC
28557-4323
US

V. Phone/Fax

Practice location:
  • Phone: 252-222-3144
  • Fax:
Mailing address:
  • Phone: 252-222-3144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023151
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: