Healthcare Provider Details

I. General information

NPI: 1720172398
Provider Name (Legal Business Name): CHRISTINE A. BUZITSKY MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE A. CASTRO MSW, LCSW

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 STRICKLAND RD STE 103-104
RALEIGH NC
27615-1902
US

IV. Provider business mailing address

313 CARPATHIAN WAY
RALEIGH NC
27615-1616
US

V. Phone/Fax

Practice location:
  • Phone: 919-899-1398
  • Fax:
Mailing address:
  • Phone: 919-819-6143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904044868
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC003261
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: