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

Mrs. Kathryn Russell Baucom, LCSW

Individual provider Clinical Social Worker · NPI 1336366566

Mrs. Kathryn Russell Baucom, LCSW is a Clinical Social Worker in Cary, North Carolina. Licensed in Kentucky and North Carolina. Registered with an NPI since 2007.

Licensed in
KY, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

203 Gentlewoods Dr
Cary, NC 27518-8662
Phone: (502) 200-2550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1012 (KY)
Clinical Social Worker Taxonomy 1041C0700X · Licence C014265 (NC)

Record details

NPI number1336366566
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

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