Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEIRDRE W STREET, LCSW, LCAS
Deactivated Sole ProprietorDEIRDRE W STREET, LCSW, LCAS is a Clinical Social Worker healthcare provider located in WRIGHTSVILLE BEACH, North Carolina. NPI 1346595758 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · WRIGHTSVILLE BEACH, NC
This NPI has been deactivated.
The record was deactivated on September 20, 2012.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1346595758
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2012 (0.16164383561644 yrs)
- Last Updated
- Jul 12, 2023
- Deactivated
- Sep 20, 2012
- License
-
C007674 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 HENDERSON ST WWRIGHTSVILLE BEACH, NC, 284801803Browse NC providers · Browse ZIP 28480
- Phone
- 9102330052
- Fax
- 9103381300
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WRIGHTSVILLE BEACH, NC
| Name | Credential | NPI |
|---|---|---|
| STEFANIE LYNN ROBACK | MSW, LCSW, LCAS | 1629421698 |
| TAYLOR MANFREDI | MSW, LCSW | 1922651116 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.