Provider Demographics
NPI:1790675445
Name:PATE, COURTNEY CREASY (LCSWA)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CREASY
Last Name:PATE
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 1:136 GEORGETOWNE DR
Mailing Address - Street 2:
Mailing Address - City:ELON
Mailing Address - State:NC
Mailing Address - Zip Code:27244-8314
Mailing Address - Country:US
Mailing Address - Phone:336-539-1648
Mailing Address - Fax:
Practice Address - Street 1:2432 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5291
Practice Address - Country:US
Practice Address - Phone:336-494-8856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPO221881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical