Active NPI
Jacqueline Nunez
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1508586082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3117 Poplarwood CT Ste 350
Raleigh, NC 27604-6446 - Phone
- (919) 721-4117
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
3117 Poplarwood CT Ste 350
Raleigh, NC 27604-6446
Mailing address
1808 Lucas Rd
Knightdale, NC 27545-8266
Phone (919) 721-4117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1508586082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 LUCAS RD",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275458266",
"telephone_number": "919-721-4117"
},
{
"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": "919-721-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
- Nuance Counseling Partners PLLC
- Nicole Nuccio, RDN, LDN
- Reece Nicole Nuessmeier, PA-C
- Taylor Nugent I, LAT, ATC,
- Nume Counseling & Consulting, LLC (NuMe Counseling & Trauma-Focused Services)
- Shasty Nunez
- Shayla Nunez
- Victoria Maria Nunez, PA-C
- Alice Valencia Nunn, MA, LPC
- Holly Harper Nunn, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.