Carol Retsch-Bogart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000395 Issued in NC

Practice address

2200 West Main Street
Suite 700
Durham, NC 27705-4640

Phone

(919) 416-1727

Fax

(919) 286-1121

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083781116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 3834 DUMC",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-416-1727",
            "fax_number": "919-286-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WEST MAIN STREET",
            "address_2": "SUITE 700",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054640",
            "telephone_number": "919-416-1727",
            "fax_number": "919-286-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETSCH-BOGART",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.C. SOCIAL WORK LISENCE",
            "identifier": "C000395",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Angelica Resuello
• Zachary Rethorn, DPT
• Elizabeth Powell Retzlaff, NNP
• Caroline Revell
• Rachael Lark Revelle
• Jessica Ann Revels, M.ED., M.A., LPCA
• Kamryn Revels, RBT

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.