Provider Demographics
NPI:1114443694
Name:WHITFIELD, NAKEISHA LATTOIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NAKEISHA
Middle Name:LATTOIA
Last Name:WHITFIELD
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 1:14007 LAUREL TRACE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-5764
Mailing Address - Country:US
Mailing Address - Phone:804-496-8399
Mailing Address - Fax:
Practice Address - Street 1:14007 LAUREL TRACE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5764
Practice Address - Country:US
Practice Address - Phone:804-496-8399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0070701041C0700X
NCC0130001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical