Provider Demographics
NPI:1942050331
Name:EWART, ITIYOPIYA (LCSWA)
Entity Type:Individual
Prefix:
First Name:ITIYOPIYA
Middle Name:
Last Name:EWART
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 REYNOLDS SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-9588
Mailing Address - Country:US
Mailing Address - Phone:828-279-3020
Mailing Address - Fax:
Practice Address - Street 1:862 HAYWOOD RD STE 3
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3114
Practice Address - Country:US
Practice Address - Phone:828-279-3020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0182701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical