MEDICARE: WOVEN WOOD INTEGRATIVE THERAPY 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1124837182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOVEN WOOD INTEGRATIVE THERAPY PLLC

Provider Business Mailing Address
First Line	:	305 E CHATHAM ST
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-1717
Country	:	US
Telephone Number	:	919-656-7008
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 SALEM TOWNE CT UPPR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-2311
Country	:	US
Telephone Number	:	919-656-7008
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARA RIGGS
Credential	:	MSW, LCSW
Telephone Number	:	919-656-7008

Provider Enumeration Date	:	01/04/2025
Last Update Date	:	01/30/2026

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