Provider Demographics
NPI:1356103733
Name:WHITAKER, APRIL (LCSW-A)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:WHITAKER
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:BOONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1203 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-2356
Mailing Address - Country:US
Mailing Address - Phone:252-326-3778
Mailing Address - Fax:
Practice Address - Street 1:608 JACKSON ST STE 212
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-2600
Practice Address - Country:US
Practice Address - Phone:919-200-5217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical