A Ray of Light PLLC

Organization Active NPI Clinical Social Worker · Raleigh, NC

NPI 1821944166 · NPPES record last updated Mar 9, 2026

Key facts

NPI
1821944166
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
A RAY OF LIGHT PLLC
Practice address
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone
(252) 689-7424
Fax
(252) 631-0687
NPI assigned
Mar 9, 2026
Organization subpart
No

Authorized official

Name
Dominique Latrece Squire, LCSW
Title
Licensed Clinical Social Worker Ceo
Phone
(919) 423-7483

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010

Mailing address

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone (252) 689-7424

Other providers in Raleigh, NC

All providers in Raleigh, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.