Provider Demographics
NPI:1528725603
Name:CIAMPA, CATRINA ANNE (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:CATRINA
Middle Name:ANNE
Last Name:CIAMPA
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 NC HIGHWAY 231
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-6767
Mailing Address - Country:US
Mailing Address - Phone:954-675-6851
Mailing Address - Fax:
Practice Address - Street 1:4701 NC HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-6767
Practice Address - Country:US
Practice Address - Phone:954-675-6851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0154641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical