Provider Demographics
NPI:1952686735
Name:HANEF, SAMIR (MSW, LCSW, LCAS-A)
Entity Type:Individual
Prefix:MR
First Name:SAMIR
Middle Name:
Last Name:HANEF
Suffix:
Gender:M
Credentials:MSW, LCSW, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CONSULTANT PL
Mailing Address - Street 2:SUITE 210A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6320
Mailing Address - Country:US
Mailing Address - Phone:919-358-1471
Mailing Address - Fax:919-287-2556
Practice Address - Street 1:14 CONSULTANT PL
Practice Address - Street 2:SUITE 210A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6320
Practice Address - Country:US
Practice Address - Phone:919-358-1471
Practice Address - Fax:919-287-2556
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0081521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical