Provider Demographics
NPI:1720519119
Name:RUSHING, ANN AGBIAK (LCSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:AGBIAK
Last Name:RUSHING
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:AGBIAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3804 KENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8349
Mailing Address - Country:US
Mailing Address - Phone:937-817-1805
Mailing Address - Fax:910-341-5779
Practice Address - Street 1:3707 W MARKET ST STE D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1399
Practice Address - Country:US
Practice Address - Phone:937-817-1805
Practice Address - Fax:910-341-5779
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0176481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical