Individual provider Active NPI

Philippa Cutter-Humphrey, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1831659911
Registry record updated Mar 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CO10946 Issued in NC
Practice address
5613 Duraleigh Rd Ste 161
Raleigh, NC 27612-2709
Phone
(919) 784-0205
Fax
(919) 784-0250
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C010946 NC
Clinical Social Worker 1041C0700X CO10946 NC Primary

Addresses

Primary practice location

5613 Duraleigh Rd Ste 161
Raleigh, NC 27612-2709

Mailing address

1713 Liatris LN
Raleigh, NC 27613-6593
Phone (919) 601-8671

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
C010946NCMDMental Health Counselor
CO10946NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1831659911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 LIATRIS LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136593",
            "telephone_number": "919-601-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 DURALEIGH RD STE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122709",
            "telephone_number": "919-784-0205",
            "fax_number": "919-784-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTER-HUMPHREY",
        "first_name": "PHILIPPA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C010946",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO10946",
            "primary": true
        }
    ],
    "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 Mar 23, 2019; 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.