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NPI Code Detail

MEDICARE: MRS. DIANE SPELL LCSW

MEDICARE: MRS. DIANE SPELL LCSW
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
11041C0700XClinical Social WorkerC008879NC

General Provider Information

NPI Number : 1427347574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE SPELL LCSW
Provider Business Mailing Address
First Line : 1409 TAWNY VIEW LN
Second Line :
City : RALEIGH
State : NC
Zip : 27603-9198
Country : US
Telephone Number : 919-346-3287
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 919-346-3287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2011
Last Update Date : 09/17/2025

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Directions to “ MRS. DIANE SPELL LCSW” Practice Location

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