Individual provider Active NPI

Brigitte Zylaroch

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1902430804
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015612 Issued in NC
Practice address
7404 Chapel Hill Rd Ste a
Raleigh, NC 27607-5043
Phone
(984) 664-3203
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109011-01 NY
Clinical Social Worker 1041C0700X C015612 NC Primary

Addresses

Primary practice location

7404 Chapel Hill Rd Ste a
Raleigh, NC 27607-5043

Mailing address

1105 Tryon Village Dr
Ste 303 #1046
Raleigh, NC 27518-7170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202000042 NC Practitioner - Clinical Social Worker 2466824370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109011-01NYMDSocial Worker
C015612NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Authentisphere Therapy, PLLC Clinical CurrentSince Dec 22, 2024 Accepting new patients

Locations

1105 Tryon Village Dr
Ste 303
Cary, NC 27518
Phone (919) 610-9436

7404 Chapel Hill Rd
Ste A
Raleigh, NC 27607
Phone (919) 230-4447

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.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1902430804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 TRYON VILLAGE DR",
            "address_2": "STE 303 #1046",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "275187170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 CHAPEL HILL RD STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075043",
            "telephone_number": "984-664-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYLAROCH",
        "first_name": "BRIGITTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109011-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.