Provider Demographics
NPI:1942503586
Name:NABORS, ELIZABETH M (LCSW, CASAC, IADC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:M
Last Name:NABORS
Suffix:
Gender:F
Credentials:LCSW, CASAC, IADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 GLADEHILL LN
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-6511
Mailing Address - Country:US
Mailing Address - Phone:910-240-2220
Mailing Address - Fax:914-344-5746
Practice Address - Street 1:151 POOLE RD STE 505
Practice Address - Street 2:
Practice Address - City:BELVILLE
Practice Address - State:NC
Practice Address - Zip Code:28451-9508
Practice Address - Country:US
Practice Address - Phone:910-240-2220
Practice Address - Fax:314-344-5746
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082236-1101YP2500X, 1041C0700X
NC009445101YP2500X
NY25150101YA0400X
1041C0700X
NCC009445101YP2500X, 102L00000X
NCC-0094451041C0700X, 101YP2500X, 1041C0700X
MSC96331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC9633OtherLICENSURE
NY082236-1OtherLICENSURE
NCC009445OtherLICENSURE