Provider Demographics
NPI:1134385784
Name:ANNAS, ANGELA (MED MSW LCSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:ANNAS
Suffix:
Gender:F
Credentials:MED MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:976 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2654
Mailing Address - Country:US
Mailing Address - Phone:919-942-8422
Mailing Address - Fax:919-942-8409
Practice Address - Street 1:976 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2654
Practice Address - Country:US
Practice Address - Phone:919-942-8422
Practice Address - Fax:919-942-8409
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0061121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical