Active NPI
Debra Leigh Eng, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1003998311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004789
- Practice address
- 8382 Six Forks Rd Ste 104
Raleigh, NC 27615-5080 - Phone
- (919) 764-4769
- Fax
- (919) 890-0071
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004789 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 902 | NC |
Addresses
Primary practice location
8382 Six Forks Rd Ste 104
Raleigh, NC 27615-5080
Mailing address
7105 Eastridge Dr
Apex, NC 27539-9745
Phone (919) 491-3644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2873503A | Other | NC | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8382 Six Forks Rd
Suite 104
Raleigh, NC 27615-5080
Phone (919) 764-4769
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C004789 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debra Eng LCSW PLLC | Clinical | Current | Accepting new patients |
Locations
8382 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 491-3644
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1043992035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1003998311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7105 EASTRIDGE DR",
"city": "APEX",
"state": "NC",
"postal_code": "275399745",
"telephone_number": "919-491-3644",
"fax_number": "919-890-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8382 SIX FORKS RD STE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155080",
"telephone_number": "919-764-4769",
"fax_number": "919-890-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "DEBRA",
"middle_name": "LEIGH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004789",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "902",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2873503A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.