Provider Demographics
NPI:1942645817
Name:SPIRES, NORA ELIZABETH (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:ELIZABETH
Last Name:SPIRES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5447 HWY 70 W STE 101
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4561
Mailing Address - Country:US
Mailing Address - Phone:252-241-3689
Mailing Address - Fax:888-731-1425
Practice Address - Street 1:5447 HWY 70 W STE 101
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4561
Practice Address - Country:US
Practice Address - Phone:252-241-3689
Practice Address - Fax:888-731-1425
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2021-04-06
Deactivation Date:2018-06-12
Deactivation Code:
Reactivation Date:2018-07-03
Provider Licenses
StateLicense IDTaxonomies
NCC0138181041C0700X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist