Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Life Extensions LLC

Organization Clinical Social Worker · NPI 1528688678

Life Extensions LLC is a Clinical Social Worker in Raleigh, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2820 Calliope Way Apt 103
Raleigh, NC 27616-6060
Phone: (919) 532-9855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Clinical Social Worker Taxonomy 1041C0700X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1528688678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Green — Owner · (919) 532-9855
NPI enumeratedApril 19, 2020
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address1003 Dresser Ct, Raleigh, NC 27609-7323

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