Provider Demographics
NPI:1144383050
Name:COFIELD, FELICIA JANE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:JANE
Last Name:COFIELD
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 1:1036 YEOPIM RD
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-9417
Mailing Address - Country:US
Mailing Address - Phone:252-312-6670
Mailing Address - Fax:252-482-1770
Practice Address - Street 1:100 E KING ST
Practice Address - Street 2:SUITE 1
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-1956
Practice Address - Country:US
Practice Address - Phone:252-312-6670
Practice Address - Fax:252-482-1770
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0055341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical