Provider Demographics
NPI:1821424235
Name:CHAMBERLAIN, AURIA ANNETTE (LCSW-A, MSW)
Entity Type:Individual
Prefix:
First Name:AURIA
Middle Name:ANNETTE
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:LCSW-A, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:157 BLUE BELL RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-5301
Practice Address - Country:US
Practice Address - Phone:336-370-9400
Practice Address - Fax:336-373-0134
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
P0155871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical