Healthcare Provider Details

I. General information

NPI: 1477673861
Provider Name (Legal Business Name): LEIGH ANN CARR VOJTICEK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10211 ALM ST STE 1100
RALEIGH NC
27617-8221
US

IV. Provider business mailing address

2511 WALDEN WOODS DR
APEX NC
27523-6245
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-1160
  • Fax:
Mailing address:
  • Phone: 919-880-5870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC004678
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: