Organization Active NPI

Road Song Therapy, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1205734548
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROAD SONG THERAPY, PLLC
Practice address
112 Broadway St Ste 502
Durham, NC 27701-2402
Phone
(919) 627-8117
Fax
(505) 633-3014
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Paul Robert Warren, LCSWNPI 1053094482
Title
Owner
Phone
(919) 627-8117

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

112 Broadway St Ste 502
Durham, NC 27701-2402

Mailing address

112 Broadway St Ste 502
Durham, NC 27701-2402
Phone (919) 627-8117

National Provider Directory

National Provider Directory

Locations

112 Broadway St
Ste 502
Durham, NC 27701

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": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1205734548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BROADWAY ST STE 502",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012402",
            "telephone_number": "919-627-8117",
            "fax_number": "505-633-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BROADWAY ST STE 502",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012402",
            "telephone_number": "919-627-8117",
            "fax_number": "505-633-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD SONG THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-627-8117",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 27, 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.

Verify at the official NPI Registry.