Ayat Rafiq Soufan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011622 Issued in NC

Practice address

101 Manning Drive
CB 7030
Chapel Hill, NC 27514-4220

Phone

(984) 974-0169

Fax

(984) 974-4587

NPI assigned

May 1, 2020

Last updated

May 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1447871322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 AVIATION PKWY",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609198",
            "telephone_number": "252-567-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE",
            "address_2": "CB 7030",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-0169",
            "fax_number": "984-974-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUFAN",
        "first_name": "AYAT",
        "middle_name": "RAFIQ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Soper, MD
• Shirley Mack Sopko, CRNA
• Jonathan David Sorah, M.D.
• Kathryn L Sorensen, OCCUPATIONAL THERAPY
• Meredith Soucie
• Srinath Soundararajan
• Southeast Institute
• Southern Assisted Living, LLC. (Brookdale Meadowmont)
• Southern Village Acupuncture & Herbology, LLC
• Southern Village Pharmacy Inc (Southern Village Pharmacy)

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.