Active NPI
Infinity Growth, a Psychotherapy Practice PLLC
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1265194112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INFINITY GROWTH, A PSYCHOTHERAPY PRACTICE PLLC
- Practice address
- 8300 Health Park Ste 201
Raleigh, NC 27615-4731 - Phone
- (919) 675-2259
- NPI assigned
- Oct 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maren Londahl-Smidt, LCSW, LCAS
- Title
- Owner
- Phone
- (919) 675-2259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
8300 Health Park Ste 201
Raleigh, NC 27615-4731
Mailing address
4509 Creedmoor Rd Ste 201
Raleigh, NC 27612-3813
National Provider Directory
National Provider DirectoryLocations
4509 Creedmoor Rd
Ste 201
Raleigh, NC 27612
Phone (919) 881-8295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652572800000",
"number": "1265194112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 CREEDMOOR RD STE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 HEALTH PARK STE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154731",
"telephone_number": "919-675-2259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY GROWTH, A PSYCHOTHERAPY PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-07",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A",
"authorized_official_last_name": "LONDAHL-SMIDT",
"authorized_official_first_name": "MAREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-675-2259",
"authorized_official_credential": "LCSW, LCAS"
},
"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 Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.