Provider Demographics
NPI:1669032314
Name:SCALISE, CLAIRE ELIZABETH (MS, CRC, LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:SCALISE
Suffix:
Gender:F
Credentials:MS, CRC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 FIRST EDITION DR APT 1711
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-0931
Mailing Address - Country:US
Mailing Address - Phone:724-787-8539
Mailing Address - Fax:
Practice Address - Street 1:2216 S MIAMI BLVD STE 103
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6284
Practice Address - Country:US
Practice Address - Phone:919-504-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-15
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00381271225C00000X
NC14882101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor