TRIUMPH LLC NPI 1710032966

NPI Information

  • NPI: 1710032966
  • Provider Name: TRIUMPH LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 318 TURNERSBURG HWY
    STATESVILLE, NC
    ZIP 28625
  • Phone: (704) 873-1114

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NPI Details

TRIUMPH LLC is a clinical social worker in Statesville, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. TRIUMPH LLC NPI is 1710032966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

318 TURNERSBURG HWY
STATESVILLE, NC
ZIP 28625-798
Phone: (704) 873-1114

The provider's authorized official is Brenda Frazier .
The authorized official title is Provider Enrollment Specialist and has the following contact phone number (919) 256-0824.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2106H00000XMarriage & Family TherapistNo
31041C0700XSocial WorkerClinicalNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12335621AMEDICARE PINNORTH CAROLINA
22335621BMEDICARE PINNORTH CAROLINA
32335621MEDICARE ID-TYPE UNSPECIFIED
46005740MEDICAIDNORTH CAROLINA

What is NPI?

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This page was last updated on: 3/30/2025

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