Healthcare Provider Details

I. General information

NPI: 1710723150
Provider Name (Legal Business Name): LIOR VERED LCSWA, PH.D., MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. LIOR VERED-LANGLEY

II. Dates (important events)

Enumeration Date: 07/04/2024
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 UNIVERSITY DR STE 1000
DURHAM NC
27707-6203
US

IV. Provider business mailing address

204 BARRINGTON HILL RD
CHAPEL HILL NC
27516-7728
US

V. Phone/Fax

Practice location:
  • Phone: 919-906-4390
  • Fax: 919-287-2707
Mailing address:
  • Phone: 909-919-6691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020754
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: