Individual provider Active NPI

Behnaz Gitipour, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1568165025
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015002 Issued in VA
Practice address
7915 Dukes Dynasty Dr
Raleigh, NC 27615-8049
Phone
(513) 919-8584
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 0904015002 VA Primary

Addresses

Primary practice location

7915 Dukes Dynasty Dr
Raleigh, NC 27615-8049

Mailing address

7915 Dukes Dynasty Dr
Raleigh, NC 27615-8049
Phone (513) 919-8584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230526001753 VA Practitioner - Clinical Social Worker 8729445242 Reassigns benefits to 1 organization
I20250315000105 NC Practitioner - Clinical Social Worker 8729445242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2530 Meridian Pkwy
FL 3
Durham, NC 27713-5272
Phone (866) 630-0966

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince May 15, 2023 Accepting new patients
Sondermind PC Clinical CurrentSince Feb 27, 2025 Accepting new patients

Locations

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1568165025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 DUKES DYNASTY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276158049",
            "telephone_number": "513-919-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 DUKES DYNASTY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276158049",
            "telephone_number": "513-919-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITIPOUR",
        "first_name": "BEHNAZ",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.