Active NPI
Anna Lee Dillon Ordoubadi, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1629564166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014572
- Practice address
- 5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480 - Phone
- (919) 865-8710
- Fax
- (919) 256-0772
- NPI assigned
- Jul 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P011103 | NC | |
| Clinical Social Worker | 1041C0700X | C014572 | NC | Primary |
Addresses
Primary practice location
5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Mailing address
221 Mint Hill Dr
Cary, NC 27519-6104
Phone (919) 244-4863
Other names 1
- Anna Lee Dillon
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 |
|---|---|---|---|
| C014572 | NC | MD | Clinical Social Worker |
| P011103 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1629564166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MINT HILL DR",
"city": "CARY",
"state": "NC",
"postal_code": "275196104",
"telephone_number": "919-244-4863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 FALLS OF NEUSE RD STE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095480",
"telephone_number": "919-865-8710",
"fax_number": "919-256-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORDOUBADI",
"first_name": "ANNA",
"middle_name": "LEE DILLON",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P011103",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "DILLON",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.