Efuetbejah Atemnkeng
Individual provider Active NPI Clinical Social Worker · Smithfield, NC
NPI 1972962785 · NPPES record last updated Jan 27, 2020
Key facts
- NPI
- 1972962785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P013282 (NC)
- Practice address
- 1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876 - Phone
- (919) 934-1312
- Fax
- (919) 934-1080
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P013282 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pride in North Carolina, LLC | Mental Health | Past |
Accepting new patients |
| Pride in North Carolina, LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P013282 | NC | Yes |
Addresses
Primary practice location
1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876
Mailing address
5109 W Broad St Ste 104
Columbus, OH 43228-1648
Phone (614) 279-7690
Other providers in Smithfield, NC
- Shanelle Ranae Arthur
- Kimberly Ashley
- Abdallah Onsy Askar
- Aspirations and Miralces Community Support Services
- Mary Frances Asterita-Robol
- Romain Athus
- Adam Aydin Atik
- Lisa Nora Atwa
- Victoria Jeanne Aucoin
- Autumn Wind of Smithfield, Inc.
All providers in Smithfield, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.