Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Kornberg, LCSWA

Individual provider Clinical Social Worker · NPI 1700696325

Katherine Kornberg, LCSWA is a Clinical Social Worker in Wake Forest, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

110 Capcom Ave Ste 202
Wake Forest, NC 27587-6531
Phone: (310) 359-2539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2112 Bellaire Ave, Raleigh, NC 27608-1806 — (310) 359-2539

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P020287 (NC)

Record details

NPI number1700696325
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

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