Provider Demographics
NPI:1386097939
Name:CUTHBERTSON, CEARA LEIGH (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CEARA
Middle Name:LEIGH
Last Name:CUTHBERTSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:CEARA
Other - Middle Name:LEIGH
Other - Last Name:CALLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:755 SAM BROWN LN
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-9012
Mailing Address - Country:US
Mailing Address - Phone:828-414-8755
Mailing Address - Fax:828-414-0755
Practice Address - Street 1:755 SAM BROWN LN
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-9012
Practice Address - Country:US
Practice Address - Phone:828-414-8755
Practice Address - Fax:828-414-0755
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0106111041C0700X
NCC0118221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical