Individual provider Active NPI

Clara Penati, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1831731520
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014127 Issued in NC
Practice address
3141 John Humphries Wynd Ste 275
Raleigh, NC 27612-7716
Phone
(919) 783-5431
NPI assigned
Oct 14, 2019
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 P014127 NC Primary

Addresses

Primary practice location

3141 John Humphries Wynd Ste 275
Raleigh, NC 27612-7716

Mailing address

6422 Heartwood Dr
Chapel Hill, NC 27516-9204
Phone (604) 418-8749

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
P014127NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Osvold Psychotherapy & Testing, Inc. PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1831731520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 HEARTWOOD DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169204",
            "telephone_number": "604-418-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 JOHN HUMPHRIES WYND STE 275",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127716",
            "telephone_number": "919-783-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENATI",
        "first_name": "CLARA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014127",
            "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 Oct 14, 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.