Itala Marcella Azzarelli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007915 Issued in NC

Practice address

2608 Erwin Rd
Suite 300
Durham, NC 27705-4596

Phone

(919) 385-3232

Fax

(919) 681-5581

NPI assigned

Oct 20, 2016

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1851842322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 SHREWSBURY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074526",
            "telephone_number": "919-444-1927",
            "fax_number": "919-681-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 ERWIN RD",
            "address_2": "SUITE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054596",
            "telephone_number": "919-385-3232",
            "fax_number": "919-681-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZARELLI",
        "first_name": "ITALA",
        "middle_name": "MARCELLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Melvin Aytch Jr., PH.D.
• Leila Azari
• Chelsie Azevedo, RD
• Azleena Salleh Azhar, LCSWA, MSW
• Anthonia Ifeoma Azubike
• B & C Care System, Inc
• B & D Integrated Health Services
• B & D Integrated Health Services
• B&D Behavioral Health Services
• B2G Outreach Services, Inc.

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Oct 20, 2016; 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.