Provider Demographics
NPI:1871864942
Name:MAYFIELD, CAROL (LCAS, LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:MAYFIELD
Suffix:
Gender:F
Credentials:LCAS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 REEMS TRACE RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8414
Mailing Address - Country:US
Mailing Address - Phone:828-712-4537
Mailing Address - Fax:
Practice Address - Street 1:35 REEMS TRACE RD
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-8414
Practice Address - Country:US
Practice Address - Phone:828-712-4537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-22
Last Update Date:2012-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1713101YA0400X
NCC0050691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)