Organization Active NPI

Andrea Valletta LCSW PLLC

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
National Provider Identifier
1659930840
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ANDREA VALLETTA LCSW PLLC
Practice address
804 Salem Woods Dr Ste 202
Raleigh, NC 27615-3343
Phone
(919) 609-2564
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Andrea J Valletta, LCSW
Title
Owner/Therapist
Phone
(919) 609-2564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

804 Salem Woods Dr Ste 202
Raleigh, NC 27615-3343

Mailing address

218 Trillingham LN
Cary, NC 27513-3037

National Provider Directory

National Provider Directory

Locations

804 Salem Woods Dr
Ste 202
Raleigh, NC 27615
Phone (919) 302-1112

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1659930840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 TRILLINGHAM LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SALEM WOODS DR STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153343",
            "telephone_number": "919-609-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA VALLETTA LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "VALLETTA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "919-609-2564",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Jun 24, 2019; 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.