Tammy T Vaughan, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010785 Issued in NC

Practice address

5809 Departure Dr
Raleigh, NC 27616-1935

Phone

(919) 872-6220

NPI assigned

Sep 23, 2009

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)

Not enrolled

State licenses

Practice roles

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.

• Gracepoint Recovery Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, NC
  • NPI 1992341382
  NPD Authorized official

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1811221856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 DEPARTURE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161935",
            "telephone_number": "919-872-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 DEPARTURE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161935",
            "telephone_number": "919-872-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "TAMMY",
        "middle_name": "T",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Vaughan
• Danielle Vaughan, DPT
• Dominique Nicole Vaughan, LCSWA
• Leigh Vaughan
• Sydney Vaughan, M.S., L.C.A.S.A
• Anthony Vaughn
• Bradley K Vaughn, MD
• Chloe Vaughn
• William A Vaughn, LCMHC. LCAS
• Luis Miguel Vazquez-Montesino, MD

• 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 Feb 15, 2017; 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.