Active NPI
Don Ward Badger, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1629134119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C000421
- Practice address
- 3912 Lake Point Cir
Raleigh, NC 27606-8068 - Phone
- (919) 307-1643
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | C000421 | NC | Primary |
Addresses
Primary practice location
3912 Lake Point Cir
Raleigh, NC 27606-8068
Mailing address
3912 Lake Point Cir
Raleigh, NC 27606-8068
Phone (919) 787-7489
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
| License | State | Type | Specialty |
|---|---|---|---|
| C000421 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1629134119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 LAKE POINT CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276068068",
"telephone_number": "919-787-7489",
"fax_number": "919-787-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 LAKE POINT CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276068068",
"telephone_number": "919-307-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADGER",
"first_name": "DON",
"middle_name": "WARD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C000421",
"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 Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.