Provider Demographics
NPI:1497191753
Name:RAYNOR, ERIKA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:RAYNOR
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:C
Other - Last Name:BRANHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 9261
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9083
Mailing Address - Country:US
Mailing Address - Phone:910-527-0548
Mailing Address - Fax:910-491-6123
Practice Address - Street 1:143 LOFTON DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-3431
Practice Address - Country:US
Practice Address - Phone:910-527-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0061361041C0700X
NCC0085451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical