Active NPI
Andrea Valletta LCSW PLLC
- Adult Mental Health Clinic/Center
- Raleigh, NC
National Provider Identifier
1659930840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1669640090
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.