Provider Demographics
NPI:1972866739
Name:HIGGINS, GWEN HILL (LCSW)
Entity type:Individual
Prefix:MS
First Name:GWEN
Middle Name:HILL
Last Name:HIGGINS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 ROBERSON CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8803
Mailing Address - Country:US
Mailing Address - Phone:919-260-0450
Mailing Address - Fax:
Practice Address - Street 1:299 ROBERSON CREEK RD
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8803
Practice Address - Country:US
Practice Address - Phone:919-545-7407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0075241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical