1801409685 NPI number — MRS. MARI CALDWELLROBINSON HALL LCSW

Table of content: MRS. MARI CALDWELLROBINSON HALL LCSW (NPI 1801409685)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801409685 NPI number — MRS. MARI CALDWELLROBINSON HALL LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALL
Provider First Name:
MARI
Provider Middle Name:
CALDWELLROBINSON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CALDWELL-ROBINSON
Provider Other First Name:
MARI
Provider Other Middle Name:
MCKENZIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801409685
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5401 CREEK RIDGE LN APT F
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27607-3843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-455-4509
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
900 MLK BLVD STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-2601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-237-4240
Provider Business Practice Location Address Fax Number:
704-246-7190
Provider Enumeration Date:
08/31/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CO15952 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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