Active NPI
Litasha Wilson
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1114984077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004473
- Practice address
- 23 Sunnybrook Rd
Raleigh, NC 27610-1855 - Phone
- (919) 212-3011
- Fax
- (919) 255-1541
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004473 | NC | Primary |
Addresses
Primary practice location
23 Sunnybrook Rd
Raleigh, NC 27610-1855
Mailing address
5309 Talison CT
Raleigh, NC 27610-2163
Phone (919) 212-1065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004473 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114984077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5309 TALISON CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276102163",
"telephone_number": "919-212-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101855",
"telephone_number": "919-212-3011",
"fax_number": "919-255-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LITASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004473",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.