Provider Demographics
NPI:1952648644
Name:ABNEY, ROLANDA JOHNSON (LCSW)
Entity Type:Individual
Prefix:
First Name:ROLANDA
Middle Name:JOHNSON
Last Name:ABNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2661 W. ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110
Mailing Address - Country:US
Mailing Address - Phone:704-681-5077
Mailing Address - Fax:800-920-1770
Practice Address - Street 1:2661 W ROOSEVELT BLVD STE 107
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110
Practice Address - Country:US
Practice Address - Phone:704-681-5077
Practice Address - Fax:800-920-1770
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPOO6894104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker