Provider Demographics
NPI:1265462477
Name:PUROHIT, AJITA (LICSW)
Entity Type:Individual
Prefix:
First Name:AJITA
Middle Name:
Last Name:PUROHIT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 ADELINE CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-5002
Mailing Address - Country:US
Mailing Address - Phone:339-216-0059
Mailing Address - Fax:
Practice Address - Street 1:915 ADELINE CT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5002
Practice Address - Country:US
Practice Address - Phone:339-216-0059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1135511041C0700X
NCC0072241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical