Provider Demographics
NPI:1265119143
Name:NASSAR, KARIM (MSW, LCSW-A)
Entity type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:NASSAR
Suffix:
Gender:M
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3223 AVENT FERRY RD
Mailing Address - Street 2:#109
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-2720
Mailing Address - Country:US
Mailing Address - Phone:919-673-1023
Mailing Address - Fax:
Practice Address - Street 1:1226 LORIMER RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-1921
Practice Address - Country:US
Practice Address - Phone:919-673-1023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0192211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical