Individual provider Active NPI

Debra Leigh Eng, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1003998311
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004789 Issued in NC
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

Updated by the provider on Aug 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2873503AOtherNCMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000782 NC Practitioner - Clinical Social Worker 5496760670 Reassigns benefits to 1 organization
Practice locations: Raleigh, NC

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

LicenseStateTypeSpecialty
902NCMDAddiction (Substance Use Disorder) Counselor
C004789NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Eng LCSW PLLC Clinical CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.