Provider Demographics
NPI:1508982588
Name:MCLEOD FRIERSON, DEONA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEONA
Middle Name:
Last Name:MCLEOD FRIERSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 W MOREHEAD ST STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5272
Mailing Address - Country:US
Mailing Address - Phone:704-910-0292
Mailing Address - Fax:
Practice Address - Street 1:2301 W MOREHEAD ST STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5272
Practice Address - Country:US
Practice Address - Phone:704-910-0292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0062261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical