Doctor Name: | KERRY-ANN WINEBARGER |
NPI Number: | 1033347323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C006425 |
Business Practice Address: | 119 W Depot St Mocksville, NC - 270282327 |
Business Phone Number: | 3367515636 |
Business Fax Number: | 3367515696 |
Mailing Address: | 3210 Fairhill Dr, RALEIGH |
State: | NC |
Postal Code: | 276123215 |
Phone Number: | 9192560824 |
Fax Number: | 9192560833 |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C006425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |