Stacey E Craig, LCSW/LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011946 Issued in NC

Practice address

5613 Duraleigh Rd Ste 161
Raleigh, NC 27612-2709

Phone

(919) 951-8139

NPI assigned

Mar 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Stacey Craig Riberdy Former name

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1114268869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 DURALEIGH RD STE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122709",
            "telephone_number": "919-951-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 DURALEIGH RD STE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122709",
            "telephone_number": "919-951-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "STACEY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW/LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "RIBERDY",
            "middle_name": "CRAIG",
            "prefix": "MS.",
            "credential": "LCSW/LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew John Cracker, M.D.
• John Alfred Craichy, LCSWA
• Craig M. Mize DDS, PA
• Michael E Craig, PA-C
• Sarah Marie Craig, D.M.D.
• Stacy Craig
• Heather Barkley Craige, MSW, LCSW
• Bryony Williams Crain, NCC, LPC
• Kathryn Elizabeth Crampton, MD
• Coby Crandall, CPSS

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Dec 29, 2022; 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.