Individual provider Active NPI

Meera Jayaraman, MSW, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1124759550
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017679 Issued in NC
Practice address
3708 Lyckan Pkwy Ste 106
Durham, NC 27707-2586
Phone
(919) 907-0661
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P017679 NC Primary

Addresses

Primary practice location

3708 Lyckan Pkwy Ste 106
Durham, NC 27707-2586

Mailing address

500 E Davie St Ste 140
Raleigh, NC 27601-2093
Phone (919) 514-3566

Other practice location 1

5007 Southpark Dr Ste 200I
Durham, NC 27713-7739
Phone (919) 907-0661

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P017679NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jayaraman Therapy Associates, PLLC Clinical CurrentSince Oct 21, 2025 Accepting new patients

Locations

5007 Southpark Dr
Ste 200I
Durham, NC 27713
Phone (510) 456-5334

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1124759550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E DAVIE ST STE 140",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276012093",
            "telephone_number": "919-514-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 LYCKAN PKWY STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072586",
            "telephone_number": "919-907-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5007 Southpark Dr Ste 200I",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277137739",
            "country_code": "US",
            "telephone_number": "919-907-0661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYARAMAN",
        "first_name": "MEERA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017679",
            "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 Oct 13, 2025; 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.