Individual provider Active NPI

Gabriela Magallanes, LCAS-A

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1932887494
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019583 Issued in NC
Practice address
8045 Arco Corporate Dr Ste 120
Raleigh, NC 27617-8134
Phone
(919) 372-3690
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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-28970 NC
Clinical Social Worker 1041C0700X P019583 NC Primary

Addresses

Primary practice location

8045 Arco Corporate Dr Ste 120
Raleigh, NC 27617-8134

Mailing address

612 Gardner St
Raleigh, NC 27607-6940
Phone (919) 623-6433

Other practice location 1

1000 Darrington Dr Ste 204
Cary, NC 27513-8134
Phone (919) 338-5620

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-28970NCMDAddiction (Substance Use Disorder) Counselor
P019583NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Wellness and Recovery Services PLLC Addiction (Substance Use Disorder) CurrentSince Jul 1, 2023 Accepting new patients
Nellie Health PLLC Clinical CurrentSince May 26, 2024 Accepting new patients
Triangle Wellness & Recovery PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1000 Darrington Dr
Ste 204
Cary, NC 27513
Phone (919) 338-5620

8045 Arco Corporate Dr
Ste 120
Raleigh, NC 27617
Phone (919) 346-7600

Organizations & group practices 3

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1932887494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 GARDNER ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076940",
            "telephone_number": "919-623-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 ARCO CORPORATE DR STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178134",
            "telephone_number": "919-372-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Darrington Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138134",
            "country_code": "US",
            "telephone_number": "919-338-5620",
            "fax_number": "919-336-4519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGALLANES",
        "first_name": "GABRIELA",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28970",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019583",
            "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 May 23, 2024; 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.