Provider Demographics
NPI:1407401672
Name:BOND, CIERRA LASHAE (LCSWA)
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:LASHAE
Last Name:BOND
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 BOSTIAN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2713
Mailing Address - Country:US
Mailing Address - Phone:910-635-9589
Mailing Address - Fax:
Practice Address - Street 1:1303 BOSTIAN DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2713
Practice Address - Country:US
Practice Address - Phone:910-635-9589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0133981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical