Organization Active NPI

Bobby West MSW, LCSW PLLC

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1972899532
Registry record updated Jan 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004444 Issued in NC
Legal business name
BOBBY WEST MSW, LCSW PLLC
Practice address
1145 Executive Cir
Suite D
Cary, NC 27511-4586
Phone
(919) 395-4614
Fax
(919) 882-8109
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2012

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

Authorized official

Name
Mrs. Bobby Newell West, MSW, LCSW
Title
Psychotherapist
Phone
(919) 395-4614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C004444 NC Primary

Addresses

Primary practice location

1145 Executive Cir
Suite D
Cary, NC 27511-4586

Mailing address

1145 Executive Cir Ste D
Cary, NC 27511-4586
Phone (919) 395-4614

Other identifiers 1

IdentifierTypeStateIssuer
6003511MedicaidNC

Other names 1

  • Bobby West Other name

National Provider Directory

National Provider Directory

Locations

1145 Executive Cir
Ste D
Cary, NC 27511
Phone (919) 249-5423

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327795200000",
    "number": "1972899532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 EXECUTIVE CIR STE D",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114586",
            "telephone_number": "919-395-4614",
            "fax_number": "919-882-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 EXECUTIVE CIR",
            "address_2": "SUITE D",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114586",
            "telephone_number": "919-395-4614",
            "fax_number": "919-882-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY WEST MSW, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2012-01-29",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "NEWELL",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-395-4614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003511",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bobby West",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.