Provider Demographics
NPI:1184211021
Name:ZAMORA-DUPREY, RAUL (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:
Last Name:ZAMORA-DUPREY
Suffix:
Gender:X
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ADVAITA
Other - Middle Name:
Other - Last Name:ZAMORA-DUPREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:341 S. COLLEGE RD., STE. 11
Mailing Address - Street 2:PMB 2027
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403
Mailing Address - Country:US
Mailing Address - Phone:336-840-8981
Mailing Address - Fax:
Practice Address - Street 1:925 N 4TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-3450
Practice Address - Country:US
Practice Address - Phone:910-343-0270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-27
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0165011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical