Provider Demographics
NPI:1821584335
Name:GARLAND, ROBERT (MSW, LCSW-A)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:GARLAND
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 1:723 W JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-1241
Mailing Address - Country:US
Mailing Address - Phone:984-204-1106
Mailing Address - Fax:
Practice Address - Street 1:723 W JOHNSON ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-1241
Practice Address - Country:US
Practice Address - Phone:984-204-1106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0125781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP012578OtherSUBSTANCE USE