Provider Demographics
NPI:1942844113
Name:SANDERS, COURTNEY BROWN (LCSW)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:BROWN
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:BRIONNA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:79 TRADEWIND CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6699
Mailing Address - Country:US
Mailing Address - Phone:919-633-9364
Mailing Address - Fax:
Practice Address - Street 1:16 W MARTIN ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-1341
Practice Address - Country:US
Practice Address - Phone:919-633-9364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0125281041C0700X
NCC0141811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical