Provider Demographics
NPI:1427382308
Name:HOWARD, ANTOINETTE H (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:H
Last Name:HOWARD
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 1:2933 CRAGBURN PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-6402
Mailing Address - Country:US
Mailing Address - Phone:910-850-6132
Mailing Address - Fax:
Practice Address - Street 1:2317 REILLY RD
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-5193
Practice Address - Country:US
Practice Address - Phone:910-570-3048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0032961041C0700X
NCC0070981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical