Individual provider Active NPI

Christine Ann Duffy, MSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1356664304
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010199 Issued in NC
Practice address
4601 Lake Boone TRL Ste 2D
Raleigh, NC 27607-7503
Phone
(919) 276-0626
Fax
(844) 355-2247
NPI assigned
Mar 4, 2010
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904005275 VA
Clinical Social Worker 1041C0700X C010199 NC Primary

Addresses

Primary practice location

4601 Lake Boone TRL Ste 2D
Raleigh, NC 27607-7503

Mailing address

4601 Lake Boone TRL Ste 2D
Raleigh, NC 27607-7503
Phone (919) 276-0626

Other practice location 1

459 Patterson Rd
Honolulu, HI 96819-1522
Phone (808) 433-0660

Other practice location 2

160 NE Maynard Rd Ste 200
Cary, NC 27513
Phone (202) 689-4038

Other practice location 3

160 NE Maynard Rd Ste 200
Cary, NC 27513
Phone (202) 689-4038

Other names 1

  • Christine Ann Duffy Former name

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

State licenses

LicenseStateTypeSpecialty
C010199NCMDClinical Social Worker
0904005275VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Proven Progress Counseling and Trauma Treatment PLLC Current Accepting new patients

Locations

4601 Lake Boone Trl
Ste 2D
Raleigh, NC 27607
Phone (919) 276-0626

9660 Falls of Neuse Rd
Ste 138218
Raleigh, NC 27615
Phone (919) 276-0626

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1356664304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-276-0626",
            "fax_number": "844-355-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-276-0626",
            "fax_number": "844-355-2247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Patterson Rd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968191522",
            "country_code": "US",
            "telephone_number": "808-433-0660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 NE Maynard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27513",
            "country_code": "US",
            "telephone_number": "202-689-4038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 NE Maynard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27513",
            "country_code": "US",
            "telephone_number": "202-689-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DUFFY",
            "middle_name": "ANN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 16, 2023; 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.