Individual provider Active NPI

Ralph J McCoig, LCSW

  • Clinical Social Worker
  • Wake Forest, NC
National Provider Identifier
1780877183
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000472 Issued in NC
Practice address
839 Wake Forest Business Park Ste C
Suite F
Wake Forest, NC 27587-7335
Phone
(919) 570-8887
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000472 NC Primary

Addresses

Primary practice location

839 Wake Forest Business Park Ste C
Suite F
Wake Forest, NC 27587-7335

Mailing address

839 Wake Forest Business Park Ste C
Suite F
Wake Forest, NC 27587-7335
Phone (919) 570-8887

Other identifiers 1

IdentifierTypeStateIssuer
6002694MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C000472NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1780877183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 WAKE FOREST BUSINESS PARK STE C",
            "address_2": "SUITE F",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877335",
            "telephone_number": "919-570-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 WAKE FOREST BUSINESS PARK STE C",
            "address_2": "SUITE F",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877335",
            "telephone_number": "919-570-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOIG",
        "first_name": "RALPH",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.