Provider Demographics
NPI:1689986309
Name:CRIBBS, EVE ELLEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EVE
Middle Name:ELLEN
Last Name:CRIBBS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:EVE
Other - Middle Name:ELLEN
Other - Last Name:STEBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 W PEACE ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605
Mailing Address - Country:US
Mailing Address - Phone:919-518-6500
Mailing Address - Fax:
Practice Address - Street 1:610 W PEACE ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605
Practice Address - Country:US
Practice Address - Phone:919-518-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC006706LCSW104100000X
MI680-1069-816LMSW104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker