Provider Demographics
NPI:1538420310
Name:GINLEY, CAROLINE MARY (P-LCSW)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MARY
Last Name:GINLEY
Suffix:
Gender:F
Credentials:P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N GREENSBORO ST
Mailing Address - Street 2:SUITE C-6
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1833
Mailing Address - Country:US
Mailing Address - Phone:919-218-1052
Mailing Address - Fax:919-942-7379
Practice Address - Street 1:200 N GREENSBORO ST
Practice Address - Street 2:SUITE C-6
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1833
Practice Address - Country:US
Practice Address - Phone:919-218-1052
Practice Address - Fax:919-942-7379
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0052881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical