Provider Demographics
NPI:1821334756
Name:BUCHANAN, DAVID NATHANIEL JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NATHANIEL
Last Name:BUCHANAN
Suffix:JR
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:612 PASTEUR DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1149
Mailing Address - Country:US
Mailing Address - Phone:336-294-1349
Mailing Address - Fax:336-292-6711
Practice Address - Street 1:612 PASTEUR DR
Practice Address - Street 2:SUITE 400
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1149
Practice Address - Country:US
Practice Address - Phone:336-294-1349
Practice Address - Fax:336-292-6711
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCC0089881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical