Provider Demographics
NPI:1891883377
Name:RABSATT, SHURNA (LCSW)
Entity type:Individual
Prefix:
First Name:SHURNA
Middle Name:
Last Name:RABSATT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4068 TOWN CENTER RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-7442
Mailing Address - Country:US
Mailing Address - Phone:340-244-0204
Mailing Address - Fax:
Practice Address - Street 1:4068 TOWN CENTER RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-7442
Practice Address - Country:US
Practice Address - Phone:340-244-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0179561041C0700X
NCP007195251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC017956Medicaid