Provider Demographics
NPI:1750055513
Name:RAINE, ARTHUR WOOLFORD III (LMSW)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:WOOLFORD
Last Name:RAINE
Suffix:III
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 BEALE LOOP
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3473
Mailing Address - Country:US
Mailing Address - Phone:443-735-5433
Mailing Address - Fax:
Practice Address - Street 1:6001 BEALE LOOP
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-3473
Practice Address - Country:US
Practice Address - Phone:443-735-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-05
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27182104100000X
NCC0174201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical