Provider Demographics
NPI:1750265476
Name:IRVING, CAROLINE CODY (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:CODY
Last Name:IRVING
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:CAROLINE
Other - Last Name:CODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7409 WISCONSIN CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5657
Mailing Address - Country:US
Mailing Address - Phone:704-640-2111
Mailing Address - Fax:
Practice Address - Street 1:184 WIND CHIME CT STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6485
Practice Address - Country:US
Practice Address - Phone:919-887-7554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0221591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical