Provider Demographics
NPI:1407258429
Name:FLESCHER, SAMUEL EDER (BA, MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:EDER
Last Name:FLESCHER
Suffix:
Gender:M
Credentials:BA, MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9003 WESTON PKWY
Mailing Address - Street 2:LUCY DANIELS CENTER FOR EARLY CHILDHOOD
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9003 WESTON PKWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513
Practice Address - Country:US
Practice Address - Phone:919-677-1400
Practice Address - Fax:919-677-1489
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0100401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical