Individual provider Active NPI

Susan Anne Pietroluongo, LCSW-A

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1366199861
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014944 Issued in NC
Practice address
5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone
(919) 865-8710
Fax
(919) 256-0772
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014944 NC Primary

Addresses

Primary practice location

5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480

Mailing address

5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone (919) 865-8710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905000577 NC Practitioner - Clinical Social Worker 3274996533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014944NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 31, 2023 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 31, 2023 Accepting new patients

Locations

100 Technology Dr
Ste A
Asheville, NC 28803
Phone (828) 251-6319

400 University Hall Dr
Boone, NC 28608
Phone (828) 262-2185

100 Renee Lynn Ct
Carrboro, NC 27510
Phone (919) 966-5156

100 Renee Lynn Ct
#400
Carrboro, NC 27510

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4301 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 445-5800

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1366199861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "919-865-8710",
            "fax_number": "919-256-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "919-865-8710",
            "fax_number": "919-256-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETROLUONGO",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.