Provider Demographics
NPI:1982236618
Name:UNRUH, DEVON E (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:E
Last Name:UNRUH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:E
Other - Last Name:NOWICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSWA
Mailing Address - Street 1:718 SILO PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-3574
Mailing Address - Country:US
Mailing Address - Phone:910-783-4775
Mailing Address - Fax:
Practice Address - Street 1:718 SILO PARK DRIVE
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-3574
Practice Address - Country:US
Practice Address - Phone:910-783-4775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0137421041C0700X
NCC0167351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty