Organization Active NPI

Dua Wellness, PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1154011633
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DUA WELLNESS, PLLC
Practice address
218 W Millbrook Rd
Raleigh, NC 27609
Phone
(984) 480-9915
NPI assigned
May 9, 2023
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Suzana Pratt, LCSW, RPTNPI 1669983805
Title
Owner
Phone
(984) 480-9915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

218 W Millbrook Rd
Raleigh, NC 27609

Mailing address

218 W Millbrook Rd
Raleigh, NC 27609
Phone (984) 480-9915

Other identifiers 2

IdentifierTypeStateIssuer
1669983805OtherNCSUZANA PRATT, LCSW, RPT
1245725878OtherNCBETHANY COLLINS, LCSW

National Provider Directory

National Provider Directory

Locations

218 W Millbrook Rd
Raleigh, NC 27609
Phone (984) 480-9915

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1154011633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "984-480-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "984-480-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUA WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "SUZANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-480-9915",
        "authorized_official_credential": "LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUZANA PRATT, LCSW, RPT",
            "identifier": "1669983805",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETHANY COLLINS, LCSW",
            "identifier": "1245725878",
            "state": "NC"
        }
    ],
    "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 May 9, 2023; 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.