Organization Active NPI

Alternative Enrichment Center

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1902198245
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALTERNATIVE ENRICHMENT CENTER
Practice address
5102 Durham Chapel Hill Blvd
Suite 203
Durham, NC 27707-3394
Phone
(919) 584-5443
Fax
(919) 400-4210
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Marie Nicole Laurent, LCSWNPI 1417281007
Title
Ceo
Phone
(954) 410-5184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5102 Durham Chapel Hill Blvd
Suite 203
Durham, NC 27707-3394

Mailing address

5709 Enoree LN
Raleigh, NC 27616-5773
Phone (954) 410-5184

National Provider Directory

National Provider Directory

Locations

5102 Durham Chapel Hill Blvd
Ste 203
Durham, NC 27707
Phone (919) 584-5443

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1902198245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 ENOREE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165773",
            "telephone_number": "954-410-5184",
            "fax_number": "919-400-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 DURHAM CHAPEL HILL BLVD",
            "address_2": "SUITE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073394",
            "telephone_number": "919-584-5443",
            "fax_number": "919-400-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE ENRICHMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "LAURENT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-410-5184",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.