Provider Demographics
NPI:1114397767
Name:DUNBAR, EARLENE KIMBERLY (LICSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:EARLENE
Middle Name:KIMBERLY
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:MS
Other - First Name:E
Other - Middle Name:KIMBERLY
Other - Last Name:DUNBAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:227 W 4TH ST
Mailing Address - Street 2:SUITE 228
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-1545
Mailing Address - Country:US
Mailing Address - Phone:704-606-8193
Mailing Address - Fax:
Practice Address - Street 1:64 NEW YORK AVE NE FL 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3328
Practice Address - Country:US
Practice Address - Phone:202-809-5471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500804051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical