Provider Demographics
NPI:1790541738
Name:WHITTENBURG, NASHIA CARMAN (LCSW-A)
Entity Type:Individual
Prefix:
First Name:NASHIA
Middle Name:CARMAN
Last Name:WHITTENBURG
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 STERLINGDAIRE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4384
Mailing Address - Country:US
Mailing Address - Phone:718-404-4174
Mailing Address - Fax:
Practice Address - Street 1:130 IOWA LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4494
Practice Address - Country:US
Practice Address - Phone:718-404-4174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP020143104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker