Provider Demographics
NPI:1144908229
Name:WEBB, DOROTHY KATHRYN (LCSWA)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:KATHRYN
Last Name:WEBB
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4434 BROOKFIELD DR NW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8148
Mailing Address - Country:US
Mailing Address - Phone:919-410-3376
Mailing Address - Fax:
Practice Address - Street 1:4434 BROOKFIELD DR NW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8148
Practice Address - Country:US
Practice Address - Phone:919-410-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0192781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical