Individual provider Active NPI

Andrea R. Shapiro, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1619040383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003512 Issued in NC
Practice address
5300 Six Forks Rd
Suite 205
Raleigh, NC 27609-4463
Phone
(919) 781-2020
Fax
(919) 783-7029
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C003512 NC Primary
Clinical Social Worker 1041C0700X 055021 NY

Addresses

Primary practice location

5300 Six Forks Rd
Suite 205
Raleigh, NC 27609-4463

Mailing address

5300 Six Forks Rd
Suite 205
Raleigh, NC 27609-4465
Phone (919) 781-2020

Other identifiers 1

IdentifierTypeStateIssuer
128EFOtherNCBCBS

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

LicenseStateTypeSpecialty
C003512NCMDClinical Social Worker
055021NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea R Shapiro PLLC Clinical CurrentSince Apr 23, 2023 Accepting new patients
Psychiatric Associates of NC, PA Clinical Past Accepting new patients
Durham-Chapel Hill Jewish Federation PastSince Jun 13, 2013 Accepting new patients

Locations

5300 Six Forks Rd
Ste 201
Raleigh, NC 27609
Phone (919) 781-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619040383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SIX FORKS RD",
            "address_2": "SUITE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094465",
            "telephone_number": "919-781-2020",
            "fax_number": "919-783-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SIX FORKS RD",
            "address_2": "SUITE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094463",
            "telephone_number": "919-781-2020",
            "fax_number": "919-783-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ANDREA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003512",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "055021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "128EF",
            "state": "NC"
        }
    ],
    "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 Jul 8, 2007; 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.