Individual provider Active NPI

Jacqueline Anne Engi, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1144542846
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006709 Issued in NC
Practice address
5840 Faringdon PL
Raleigh, NC 27609-3930
Phone
(919) 771-4142
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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 C006709 NC Primary

Addresses

Primary practice location

5840 Faringdon PL
Raleigh, NC 27609-3930

Mailing address

1924 Arboretum Trce
Cary, NC 27518-9658
Phone (919) 771-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 26, 2018 through Apr 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C006709NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Counseling Group, PLLC Clinical Past Accepting new patients

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1144542846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ARBORETUM TRCE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189658",
            "telephone_number": "919-771-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 FARINGDON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093930",
            "telephone_number": "919-771-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGI",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.