Provider Demographics
NPI:1720365729
Name:BALDWIN, ULYSSES GRANT JR (DBH, LCSW-A)
Entity type:Individual
Prefix:DR
First Name:ULYSSES
Middle Name:GRANT
Last Name:BALDWIN
Suffix:JR
Gender:M
Credentials:DBH, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 BERKS WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6598
Mailing Address - Country:US
Mailing Address - Phone:984-960-7744
Mailing Address - Fax:
Practice Address - Street 1:3050 BERKS WAY
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6598
Practice Address - Country:US
Practice Address - Phone:984-960-7744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical