Provider Demographics
NPI:1366677908
Name:CONNER, TARSHEIKA LASHAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TARSHEIKA
Middle Name:LASHAY
Last Name:CONNER
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 1:547 RIVERVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28098
Mailing Address - Country:US
Mailing Address - Phone:704-879-4756
Mailing Address - Fax:
Practice Address - Street 1:547 RIVERVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:NC
Practice Address - Zip Code:28098
Practice Address - Country:US
Practice Address - Phone:704-879-4756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical