Provider Demographics
NPI:1104018290
Name:EARP, ELISABETH CAMERON (MSW, PLCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:CAMERON
Last Name:EARP
Suffix:
Gender:F
Credentials:MSW, PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 CRETE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-2585
Mailing Address - Country:US
Mailing Address - Phone:919-801-9602
Mailing Address - Fax:919-362-0287
Practice Address - Street 1:1420 CRETE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-2585
Practice Address - Country:US
Practice Address - Phone:919-801-9602
Practice Address - Fax:919-362-0287
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0035691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical