Provider Demographics
NPI:1821817677
Name:MCFARLIN, KANESHA LAVETTE
Entity type:Individual
Prefix:MS
First Name:KANESHA
Middle Name:LAVETTE
Last Name:MCFARLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4944 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:BATTLEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27809-8806
Mailing Address - Country:US
Mailing Address - Phone:678-274-9690
Mailing Address - Fax:
Practice Address - Street 1:236 N MEBANE ST STE 125
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-3957
Practice Address - Country:US
Practice Address - Phone:919-656-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0212721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical