Denise Quirk Bundick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004784 Issued in NC

Practice address

8216 Creedmoor Rd Ste 101
Raleigh, NC 27613-1391

Phone

(919) 870-0264

Fax

(866) 777-4638

NPI assigned

Nov 11, 2006

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Falls Neuropsychology and Psychotherapy Associates, PLLC

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1376702084
  NPD Authorized official
• Mindpath Care Centers, North Carolina, PLLC

  dba Mindpath Health, a practice of, MindPath Care Centers, North Carolina,

  • Psychiatry Physician
  • Durham, NC
  • NPI 1508803214

  Clinical

  NPD (past)
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  NPD (past)

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1780755983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131391",
            "telephone_number": "919-870-0264",
            "fax_number": "866-777-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8216 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131391",
            "telephone_number": "919-870-0264",
            "fax_number": "866-777-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDICK",
        "first_name": "DENISE",
        "middle_name": "QUIRK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Bumgarner
• Laketa Bumpers
• Carol Denise Bunch, PHD
• Chanel Bunch, LMBT
• Tynia Michelle Bunch
• William Thomas Bundick Jr., PH.D.
• Amy Keith Bunge, MSCCCSLP
• Elise Rachelle Bunn, PA
• Kellie Bunn, PA-C
• Raina Goldstein Bunnag, MPH, RD, LDN

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.