Active NPI
North Raleigh Family Clinic
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1346276565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C000909
- Legal business name
- NORTH RALEIGH FAMILY CLINIC
- Practice address
- 5850 Faringdon PL
Raleigh, NC 27609-3930 - Phone
- (919) 872-9974
- NPI assigned
- Jun 23, 2006
- 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
- Chad Jordan, LMFT
- Title
- Clinic Administrator
- Phone
- (919) 872-9974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C000909 | NC | Primary |
Addresses
Primary practice location
5850 Faringdon PL
Raleigh, NC 27609-3930
Mailing address
5850 Faringdon PL
Raleigh, NC 27609-3930
Phone (919) 872-9974
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005799 | Medicaid | NC | |
| 5903347 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
5850 Faringdon Pl
Raleigh, NC 27609
Phone (919) 633-7230
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatry Physician
- Burlington, NC
- NPI 1528071610
-
- Psychologist
- Durham, NC
- NPI 1154375293
-
- Clinical Social Worker
- Clayton, NC
- NPI 1144231317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346276565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 FARINGDON PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093930",
"telephone_number": "919-872-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 FARINGDON PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093930",
"telephone_number": "919-872-9974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH RALEIGH FAMILY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
"authorized_official_telephone_number": "919-872-9974",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C000909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005799",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903347",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- North Hills Physical Therapy Center, Inc.
- North Raleigh Accident & Injury Center Inc. (Premier Chiroprcatic)
- North Raleigh Cardiovascular Diseases PA
- North Raleigh Chiropractic PC
- North Raleigh Counseling, PLLC
- North Raleigh Family Eyecare, Inc.
- North Raleigh Family Medicine
- North Raleigh Integrated Primary Care PLLC
- North Raleigh Medical Center P.a.
- North Raleigh Mental Health and Wellness, PLLC (Nrmhw)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.