Provider Demographics
NPI:1003564212
Name:ACHESON, DANA POWERS (LCSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:POWERS
Last Name:ACHESON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 EYRIE CT APT 203
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-3476
Mailing Address - Country:US
Mailing Address - Phone:917-541-7529
Mailing Address - Fax:
Practice Address - Street 1:1930 EYRIE CT APT 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3476
Practice Address - Country:US
Practice Address - Phone:917-541-7529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0134521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical