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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRIMARY SOURCE GROUP, PLLC

Active Organization

PRIMARY SOURCE GROUP, PLLC is a Clinical Social Worker organization located in RALEIGH, North Carolina. NPI 1104052901 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · RALEIGH, NC

Registration Details

NPI Number
1104052901
Provider Type
Organization
NPI Issued
Jun 8, 2009 (17.201748554308 yrs)
Last Updated
Jul 25, 2011
Licenses
1222 (NC)
1572 (NC)
865 (NC)
C003663 (NC)

Practice Information

Address
4905 GREEN RD
SUITE 105
RALEIGH, NC, 276162805
Browse NC providers · Browse ZIP 27616
Phone
9199817373
Fax
9199817373
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Psychologist
Additional Specialty
Counseling Psychologist
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Organizations in RALEIGH, NC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.