Organization Active NPI

Rebecca Malouf LLC

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1669521985
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002152 Issued in NC
Legal business name
REBECCA MALOUF LLC
Practice address
1350 SE Maynard Rd
Ste 104
Cary, NC 27511
Phone
(919) 565-9622
Fax
(919) 657-0017
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mrs. Rebecca Riely Malouf, LCSWNPI 1700820529
Title
Owner
Phone
(919) 565-9622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C002152 NC Primary

Addresses

Primary practice location

1350 SE Maynard Rd
Ste 104
Cary, NC 27511

Mailing address

1350 SE Maynard Rd
Ste 104
Cary, NC 27511
Phone (919) 565-9622

National Provider Directory

National Provider Directory

Locations

1350 SE Maynard Rd
Ste 104
Cary, NC 27511
Phone (860) 899-0960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1669521985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SE MAYNARD RD",
            "address_2": "STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-565-9622",
            "fax_number": "919-657-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SE MAYNARD RD",
            "address_2": "STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-565-9622",
            "fax_number": "919-657-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA MALOUF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MALOUF",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "RIELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-565-9622",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.