Provider Demographics
NPI:1134636046
Name:PEOPLES, ALIEDJAWON B (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALIEDJAWON
Middle Name:B
Last Name:PEOPLES
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 EAST GREEN STREET
Mailing Address - Street 2:UNIT 529
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-3727
Mailing Address - Country:US
Mailing Address - Phone:919-247-1221
Mailing Address - Fax:
Practice Address - Street 1:108 EAST GREEN STREET
Practice Address - Street 2:UNIT 529
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525
Practice Address - Country:US
Practice Address - Phone:919-247-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0118771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical