Provider Demographics
NPI:1801027636
Name:WEBB, ELIZABETH DENISE (LCSW, LSSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DENISE
Last Name:WEBB
Suffix:
Gender:F
Credentials:LCSW, LSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 BRASSFIELD OAKS DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2136
Mailing Address - Country:US
Mailing Address - Phone:347-589-3617
Mailing Address - Fax:
Practice Address - Street 1:2125 ENTERPRISE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-1992
Practice Address - Country:US
Practice Address - Phone:347-589-3617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041S0200X
NCC0077251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool