Provider Demographics
NPI:1811626435
Name:PINER, GRACEANNE GAYLE (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:GRACEANNE
Middle Name:GAYLE
Last Name:PINER
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 CUTLER ST APT B
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-1922
Mailing Address - Country:US
Mailing Address - Phone:252-571-7235
Mailing Address - Fax:
Practice Address - Street 1:308 W. CORBETT AVE
Practice Address - Street 2:
Practice Address - City:SWANSBORO
Practice Address - State:NC
Practice Address - Zip Code:28584
Practice Address - Country:US
Practice Address - Phone:252-571-7235
Practice Address - Fax:804-464-4713
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041C0700X
NCP0175781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical