Organization Active NPI

Oak City Wellness

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1124499462
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007354 Issued in NC
Legal business name
OAK CITY WELLNESS
Practice address
1405 Hillsborough St
Raleigh, NC 27605-1828
Phone
(919) 886-7574
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Mrs. Lynne Houck, LCSW
Title
Owner
Phone
(919) 886-7574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C007354 NC Primary

Addresses

Primary practice location

1405 Hillsborough St
Raleigh, NC 27605-1828

Mailing address

103 N East St
Raleigh, NC 27601-1111
Phone (919) 886-7574

Other names 1

  • Lynne Houck Hefetz Doing business as

National Provider Directory

National Provider Directory

Locations

1405 Hillsborough St
Raleigh, NC 27605
Phone (919) 455-7169

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1124499462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N EAST ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011111",
            "telephone_number": "919-886-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051828",
            "telephone_number": "919-886-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CITY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-886-7574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynne Houck Hefetz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 2015; 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.