Provider Demographics
NPI:1356783021
Name:NOLAN, DANITA (LCSW-A)
Entity type:Individual
Prefix:MS
First Name:DANITA
Middle Name:
Last Name:NOLAN
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 JIMMIES CREEK DR.
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562
Mailing Address - Country:US
Mailing Address - Phone:252-638-3888
Mailing Address - Fax:252-281-2344
Practice Address - Street 1:304 JIMMIES CREEK DR.
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-638-3888
Practice Address - Fax:252-281-2344
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP007863101YM0800X
NCP015652101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health