Triumph LLC
Organization Active NPI Clinical Social Worker · Raleigh, NC
NPI 1003961269 · NPPES record last updated Apr 23, 2009
Key facts
- NPI
- 1003961269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- TRIUMPH LLC
- Practice address
- 5505 Creedmoor Rd
Suite 100
Raleigh, NC 27612-6333 - Phone
- (919) 852-5352
- Fax
- (919) 852-5323
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Talesha Rollock
- Title
- Provider Enrollment Specialist
- Phone
- (919) 256-0824
Practitioners 68
-
Damali Alston, LCSW
-
Nicole Amundsen, LCSW, MSW
-
Karlus C. Artis, M.D.
-
Karen R Ballou, MD
-
Julian Michael Bridges, LCSW
-
Mark Chinn, M.D.
-
Colleen Carol Conner, LCSW
-
Jairo Omar Fernandez, M.D.
-
Arlana Eichelle Garvin, LCSWA
-
Maria Marta Gazzola, M.D.
-
Jennifer S Gordy, MSW, LCSW
-
Marilyn Granger, M.D.
-
Heidi Louise Green, M.D.
National Provider Directory
Locations
3119 Lear Dr
#A
Burlington, NC 27215
3708 Mayfair St
#2
Durham, NC 27707
Phone (919) 683-1800
725 Broad St
Durham, NC 27705
Phone (919) 433-1491
1906 E NC Highway 54
Ste 200
Durham, NC 27713
Phone (919) 405-2177
705 S Mangum St
Bldg 2
Durham, NC 27701
Phone (919) 683-1041
119 W Main St
Elkin, NC 28621
Phone (336) 526-8335
741 Spainhour Rd
King, NC 27021
Phone (336) 983-0941
120 Orange St
Ste A
Oxford, NC 27565
Phone (919) 210-4176
901 Jones Franklin Rd
Ste 120
Raleigh, NC 27606
Phone (919) 852-5352
1433 Georgia Ave
Roanoke Rapids, NC 27870
Phone (252) 537-6619
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | Yes | ||
| Marriage & Family Therapist |
106H00000X |
Addresses
Primary practice location
5505 Creedmoor Rd
Suite 100
Raleigh, NC 27612-6333
Mailing address
3210 Fairhill Dr
Raleigh, NC 27612-3215
Phone (919) 256-0824
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005382 | Medicaid | NC |
Other providers in Raleigh, NC
- Stephanie Parker Tripp
- Herbert David Trippert
- Dinah Tripplett
- Triumph ABA of NC LLC
- Triumph LLC
- Triumph LLC
- Triumph LLC
- Triumph LLC
- Triumph LLC
- Triumph LLC
All providers in Raleigh, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.