Organization Active NPI

Triangle Center for Enrichment, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1033407754
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001528 Issued in NC
Legal business name
TRIANGLE CENTER FOR ENRICHMENT, PLLC
Practice address
100 Meredith Dr
Suite 180
Durham, NC 27713-5237
Phone
(919) 294-4895
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Ms. Catrenia Parks Hodges, L.C.S.W.
Title
Licensed Clinical Social Worker
Phone
(919) 294-4840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C001528 NC Primary

Addresses

Primary practice location

100 Meredith Dr
Suite 180
Durham, NC 27713-5237

Mailing address

100 Meredith Dr
Suite 180
Durham, NC 27713-5237
Phone (919) 294-4895

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1033407754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEREDITH DR",
            "address_2": "SUITE 180",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135237",
            "telephone_number": "919-294-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEREDITH DR",
            "address_2": "SUITE 180",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135237",
            "telephone_number": "919-294-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE CENTER FOR ENRICHMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "CATRENIA",
        "authorized_official_middle_name": "PARKS",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-294-4840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.