Individual provider Active NPI

Catherine Spencer Mezzy, LCSW, LCAS

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1912613993
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019588 Issued in NC
Practice address
2101 Garner Rd
Raleigh, NC 27610-0114
Phone
(919) 787-6131
Fax
(919) 571-2932
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-28850 NC
Clinical Social Worker 1041C0700X C019588 NC Primary

Addresses

Primary practice location

2101 Garner Rd
Raleigh, NC 27610-0114

Mailing address

3125 Poplarwood CT Ste 203
Raleigh, NC 27604-6445
Phone (919) 787-6131

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
I20260219001044 NC Practitioner - Clinical Social Worker 3971083718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3125 Poplarwood CT
Suite 203
Raleigh, NC 27604-1020

3125 Poplarwood CT
Suite 203
Raleigh, NC 27604-6445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-28850NCMDAddiction (Substance Use Disorder) Counselor
C019588NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southlight Healthcare Addiction (Substance Use Disorder) CurrentSince Feb 5, 2026 Accepting new patients

Locations

2101 Old Garner Rd
Raleigh, NC 27610
Phone (919) 832-4453

3125 Poplarwood Ct
Ste 203
Raleigh, NC 27604
Phone (919) 457-8775

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1912613993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD CT STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046445",
            "telephone_number": "919-787-6131",
            "fax_number": "919-571-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GARNER RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276100114",
            "telephone_number": "919-787-6131",
            "fax_number": "919-571-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER MEZZY",
        "first_name": "CATHERINE",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28850",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.