Provider Demographics
NPI:1982378451
Name:WHITFIELD, LENA ALBERTA ELIZABETH (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:ALBERTA ELIZABETH
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MEDICAL DR STE 5
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-3374
Mailing Address - Country:US
Mailing Address - Phone:252-384-0388
Mailing Address - Fax:252-384-0188
Practice Address - Street 1:110 MEDICAL DR STE 5
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3374
Practice Address - Country:US
Practice Address - Phone:252-384-0388
Practice Address - Fax:252-384-0188
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0166651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical