Healthcare Provider Details

I. General information

NPI: 1750179594
Provider Name (Legal Business Name): RASHIDA RAZIYA SAULS MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5122 HEATHS GLEN RD
WILSON NC
27893-8926
US

IV. Provider business mailing address

PO BOX 4773
WILSON NC
27893-0773
US

V. Phone/Fax

Practice location:
  • Phone: 252-230-7966
  • Fax: 919-626-9426
Mailing address:
  • Phone: 252-230-7966
  • Fax: 919-626-9426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: