Individual provider Active NPI

Leticia Valenzuela Frazier, MSW, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1255560561
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008004 Issued in NC
Practice address
804 Salem Woods Dr Ste 204
Raleigh, NC 27615-3343
Phone
(919) 475-9072
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X C008004 NC Primary

Addresses

Primary practice location

804 Salem Woods Dr Ste 204
Raleigh, NC 27615-3343

Mailing address

804 Salem Woods Dr Ste 204
Raleigh, NC 27615-3343
Phone (919) 307-5647

Other practice location 1

5505 Creedmoor Rd
Ste. 100
Raleigh, NC 27612-6352
Phone (919) 852-5352 ext. 251

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1255560561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SALEM WOODS DR STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153343",
            "telephone_number": "919-307-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SALEM WOODS DR STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153343",
            "telephone_number": "919-475-9072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Creedmoor Rd",
            "address_2": "Ste. 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276126352",
            "country_code": "US",
            "telephone_number": "919-852-5352 x251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "LETICIA",
        "middle_name": "VALENZUELA",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008004",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 27, 2024; 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.