Provider Demographics
NPI:1437621703
Name:ELSHENAWY, MARIAM (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIAM
Middle Name:
Last Name:ELSHENAWY
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 1:421 FAYETTEVILLE ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-3000
Mailing Address - Country:US
Mailing Address - Phone:919-825-0388
Mailing Address - Fax:
Practice Address - Street 1:421 FAYETTEVILLE ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-3000
Practice Address - Country:US
Practice Address - Phone:919-825-0388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0116521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical