Provider Demographics
NPI:1427365121
Name:HERRING, CHRISTIE MANNING (MSW, PLCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:MANNING
Last Name:HERRING
Suffix:
Gender:F
Credentials:MSW, PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 WATERCRESS RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-7781
Mailing Address - Country:US
Mailing Address - Phone:252-792-5715
Mailing Address - Fax:
Practice Address - Street 1:210 WEST LIBERTY STREET
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-0000
Practice Address - Country:US
Practice Address - Phone:252-792-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0058221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical