Provider Demographics
NPI:1841587318
Name:BROWN, LAKISHA NICOL COVINGTON (MSW, LSSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:LAKISHA
Middle Name:NICOL COVINGTON
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW, LSSW, LCSWA
Other - Prefix:
Other - First Name:LAKISHA
Other - Middle Name:NICOL
Other - Last Name:COVINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:200 N GREENSBORO ST STE C6
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1849
Mailing Address - Country:US
Mailing Address - Phone:919-962-4919
Mailing Address - Fax:
Practice Address - Street 1:200 N GREENSBORO ST STE C6
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1849
Practice Address - Country:US
Practice Address - Phone:919-962-4919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0183951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical