Provider Demographics
NPI:1306625058
Name:CRIBBS, AUBREY (LCSW)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:CRIBBS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SILVERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9708
Mailing Address - Country:US
Mailing Address - Phone:202-302-9081
Mailing Address - Fax:
Practice Address - Street 1:102 SILVERWOOD LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-9708
Practice Address - Country:US
Practice Address - Phone:202-302-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0163191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical