Provider Demographics
NPI:1922371954
Name:NESMITH, CARA BENNETT (LQP, MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:BENNETT
Last Name:NESMITH
Suffix:
Gender:F
Credentials:LQP, MSW, LCSW
Other - Prefix:MS
Other - First Name:CARA
Other - Middle Name:BENNETT
Other - Last Name:NESMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LQP, MSW, LCSW
Mailing Address - Street 1:2670 DURHAM CHAPEL HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2829
Mailing Address - Country:US
Mailing Address - Phone:919-251-9001
Mailing Address - Fax:919-251-9008
Practice Address - Street 1:2670 DURHAM CHAPEL HILL BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2829
Practice Address - Country:US
Practice Address - Phone:919-251-9001
Practice Address - Fax:919-251-9008
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC008051101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health