Active NPI
Diana Dodson Ray, LCSW, LCAS
- Clinical Social Worker
- Butner, NC
National Provider Identifier
1376087510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010230
- Practice address
- 100 W H St
Butner, NC 27509-1605 - Phone
- (919) 575-7620
- Fax
- (919) 575-7146
- NPI assigned
- Dec 7, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22772 | NC | |
| Clinical Social Worker | 1041C0700X | C010230 | NC | Primary |
Addresses
Primary practice location
100 W H St
Butner, NC 27509-1605
Mailing address
7619 Leesville Rd
Raleigh, NC 27613-4026
Phone (919) 691-5409
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 |
|---|---|---|---|
| 22772 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C010230 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1376087510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7619 LEESVILLE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276134026",
"telephone_number": "919-691-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W H ST",
"city": "BUTNER",
"state": "NC",
"postal_code": "275091605",
"telephone_number": "919-575-7620",
"fax_number": "919-575-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "DIANA",
"middle_name": "DODSON",
"credential": "LCSW, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "22772",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.