Provider Demographics
NPI:1215962972
Name:STEELMAN, BETTY (LCSW)
Entity type:Individual
Prefix:MS
First Name:BETTY
Middle Name:
Last Name:STEELMAN
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 1:1817 FALLS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3554
Mailing Address - Country:US
Mailing Address - Phone:919-815-7880
Mailing Address - Fax:919-850-2312
Practice Address - Street 1:1817 FALLS CHURCH RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3554
Practice Address - Country:US
Practice Address - Phone:919-815-7880
Practice Address - Fax:919-850-2312
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0041741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002738Medicaid