Provider Demographics
NPI:1891096152
Name:BROWN, DIANNE NEIL (LCSW-P)
Entity Type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:NEIL
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 PERRY POND DR
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-7012
Mailing Address - Country:US
Mailing Address - Phone:919-324-8106
Mailing Address - Fax:
Practice Address - Street 1:2417 PERRY POND DR
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-7012
Practice Address - Country:US
Practice Address - Phone:919-324-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0032251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical