Provider Demographics
NPI:1255431763
Name:BUHRMAN, VIVIAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:VIVIAN
Middle Name:
Last Name:BUHRMAN
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 1:503 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-2743
Mailing Address - Country:US
Mailing Address - Phone:919-435-2087
Mailing Address - Fax:
Practice Address - Street 1:112 SWIFT AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4883
Practice Address - Country:US
Practice Address - Phone:919-435-9193
Practice Address - Fax:984-377-4342
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0039351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003460Medicaid
NC6003460Medicaid