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NORTH RALEIGH FAMILY CLINIC NPI 1346276565


NPI Information

NPI: 1346276565
Provider Name: NORTH RALEIGH FAMILY CLINIC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
5850 FARINGDON PL
RALEIGH, NC
ZIP 27609
Phone: (919) 872-9974
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NORTH RALEIGH FAMILY CLINIC is a clinical social worker in Raleigh, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NORTH RALEIGH FAMILY CLINIC NPI is 1346276565. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5850 FARINGDON PL
RALEIGH, NC
ZIP 27609-930
Phone: (919) 872-9974

The provider's authorized official is Chad Jordan .
The authorized official title is Clinic Administrator and has the following contact phone number (919) 872-9974.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalC000909NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15903347MEDICAIDNORTH CAROLINA
26005799MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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