Provider Demographics
NPI:1275858938
Name:FLEMING, CHELE CARTER (MSW, LCSW,)
Entity Type:Individual
Prefix:MRS
First Name:CHELE
Middle Name:CARTER
Last Name:FLEMING
Suffix:
Gender:F
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 1:625 CLOVER CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-8654
Mailing Address - Country:US
Mailing Address - Phone:336-509-8062
Mailing Address - Fax:
Practice Address - Street 1:213 E BESSEMER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6324
Practice Address - Country:US
Practice Address - Phone:336-379-7144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0073081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007868Medicaid
NCQ36900AOtherMEDICARE PTAN