Provider Demographics
NPI:1386748754
Name:WEBB, DARLENE CARSON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:CARSON
Last Name:WEBB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DARLENE
Other - Middle Name:JEAN
Other - Last Name:CARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 SHIPYARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-6431
Mailing Address - Country:US
Mailing Address - Phone:910-399-3755
Mailing Address - Fax:910-202-9966
Practice Address - Street 1:615 SHIPYARD BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-6431
Practice Address - Country:US
Practice Address - Phone:910-399-3755
Practice Address - Fax:910-202-9966
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0045501041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002917Medicaid
NC1361WOtherBLUE CROSS BLUE SHIELD OF