Active NPI
Rowena Mudiappa
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1851692909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801092509
- Practice address
- 8522 Six Forks Rd
Suite 102
Raleigh, NC 27615-3097 - Phone
- (919) 900-7438
- NPI assigned
- Nov 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801092509 | MI | Primary |
Addresses
Primary practice location
8522 Six Forks Rd
Suite 102
Raleigh, NC 27615-3097
Mailing address
8522 Six Forks Rd
Suite 102
Raleigh, NC 27615-3097
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801092509 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernandez Community Center, LLC | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1033465075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1851692909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8522 SIX FORKS RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8522 SIX FORKS RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153097",
"telephone_number": "919-900-7438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDIAPPA",
"first_name": "ROWENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-05",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801092509",
"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 Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.