Provider Demographics
NPI:1912214388
Name:CRESS, SANDRA A (LCSW)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:A
Last Name:CRESS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 E ACADEMY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2382
Mailing Address - Country:US
Mailing Address - Phone:910-322-8672
Mailing Address - Fax:
Practice Address - Street 1:602 EAST ACADEMY ST. STE 101
Practice Address - Street 2:
Practice Address - City:FUQUAY-VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526
Practice Address - Country:US
Practice Address - Phone:910-322-8672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0091901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical