Active NPI
Sulema Grace Reichel, MSW, LCSW-A
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1346814563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P014645
- Practice address
- 3117 Poplarwood CT Ste 350
Raleigh, NC 27604-6446 - Phone
- (919) 790-8580
- Fax
- (919) 866-3255
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P014645 | NC | Primary |
Addresses
Primary practice location
3117 Poplarwood CT Ste 350
Raleigh, NC 27604-6446
Mailing address
1133 Martin St
Winston Salem, NC 27103-4430
Phone (336) 408-9122
Other practice location 1
1133 Martin St
Winston Salem, NC 27103-4430
Phone (336) 408-9122
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P014645 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1346814563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MARTIN ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034430",
"telephone_number": "336-408-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 POPLARWOOD CT STE 350",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276046446",
"telephone_number": "919-790-8580",
"fax_number": "919-866-3255"
}
],
"practiceLocations": [
{
"address_1": "1133 Martin St",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271034430",
"country_code": "US",
"telephone_number": "336-408-9122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REICHEL",
"first_name": "SULEMA",
"middle_name": "GRACE",
"credential": "MSW, LCSW-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014645",
"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 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.