Provider Demographics
NPI:1831570290
Name:WELCH, JAMARIA (LCSWA)
Entity type:Individual
Prefix:
First Name:JAMARIA
Middle Name:
Last Name:WELCH
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 1:7721 CRYSTAL SPRINGS CIR
Mailing Address - Street 2:APT. 104
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-6780
Mailing Address - Country:US
Mailing Address - Phone:336-908-2333
Mailing Address - Fax:
Practice Address - Street 1:7721 CRYSTAL SPRINGS CIR
Practice Address - Street 2:APT. 104
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-6780
Practice Address - Country:US
Practice Address - Phone:336-908-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0096331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical