Provider Demographics
NPI:1437599800
Name:IGE, CELESTE (LCSW)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:IGE
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 1:215 WILLIAM PENN PLZ
Mailing Address - Street 2:APT 338
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2547
Mailing Address - Country:US
Mailing Address - Phone:919-451-1818
Mailing Address - Fax:
Practice Address - Street 1:215 WILLIAM PENN PLZ
Practice Address - Street 2:APT 338
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2547
Practice Address - Country:US
Practice Address - Phone:919-451-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0124401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical