Individual provider Active NPI

Leah Poole

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1790446136
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018303 Issued in NC
Practice address
3301 Atlantic Ave Ste 109
Raleigh, NC 27604-1658
Phone
(919) 348-9245
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C018303 NC Primary
Clinical Social Worker 1041C0700X P017156 NC

Addresses

Primary practice location

3301 Atlantic Ave Ste 109
Raleigh, NC 27604-1658

Mailing address

4140 Lassiter Mill Rd Unit 305
Raleigh, NC 27609-5687
Phone (252) 202-3739

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
C018303NCMDClinical Social Worker
P017156NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Trauma Therapy CurrentSince Aug 3, 2025 Accepting new patients
Bowman Family Services Inc PastSince Jan 1, 2022 Accepting new patients

Locations

3301 Atlantic Ave
Ste 109
Raleigh, NC 27604
Phone (252) 202-3739

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1790446136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 LASSITER MILL RD UNIT 305",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095687",
            "telephone_number": "252-202-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 ATLANTIC AVE STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041658",
            "telephone_number": "919-348-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "LEAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018303",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017156",
            "primary": false
        }
    ],
    "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 Aug 1, 2025; 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.