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
Last updated
Jun 24, 2019By the provider in NPPES
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, LCSWNPI 1669640090
Title
Owner/Therapist
Phone
(919) 609-2564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.