Active NPI
Elizabeth Ranganai Mavindidze, LCSW
- Social Worker
- Raleigh, NC
National Provider Identifier
1609499243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C010695
- Practice address
- Wakemed Health and Hospitals
3000 New Bern Avenue
Raleigh, NC 27610 - Phone
- (919) 350-7722
- NPI assigned
- May 18, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | C010695 | NC | Primary |
Addresses
Primary practice location
Wakemed Health and Hospitals
3000 New Bern Avenue
Raleigh, NC 27610
Mailing address
3444 Barn Rd
Apex, NC 27502-7403
Phone (610) 772-3734
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1609499243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 BARN RD",
"city": "APEX",
"state": "NC",
"postal_code": "275027403",
"telephone_number": "610-772-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAKEMED HEALTH AND HOSPITALS",
"address_2": "3000 NEW BERN AVENUE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27610",
"telephone_number": "919-350-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAVINDIDZE",
"first_name": "ELIZABETH",
"middle_name": "RANGANAI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C010695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.