MEDICARE: TRIANGLELCSW, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1245169325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIANGLELCSW, PLLC

Provider Business Mailing Address
First Line	:	1201 RALEIGH RD STE 202
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-4047
Country	:	US
Telephone Number	:	919-410-7189
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 RALEIGH RD STE 202
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-4047
Country	:	US
Telephone Number	:	919-410-7189
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH HAYDEN
Credential	:	LCSW
Telephone Number	:	919-410-7189

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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