Provider Demographics
NPI:1477360048
Name:MAKKAR, SUFFI (LCSWA)
Entity type:Individual
Prefix:MS
First Name:SUFFI
Middle Name:
Last Name:MAKKAR
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8045 ARCO CORPORATE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-2026
Mailing Address - Country:US
Mailing Address - Phone:919-306-3690
Mailing Address - Fax:919-268-8088
Practice Address - Street 1:8045 ARCO CORPORATE DR STE 120
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-2026
Practice Address - Country:US
Practice Address - Phone:919-306-3690
Practice Address - Fax:919-268-8088
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0215731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical