Healthcare Provider Details

I. General information

NPI: 1003745860
Provider Name (Legal Business Name): SIERA MLO NIE LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 MARTIN LUTHER KING JR BLVD STE 150
CHAPEL HILL NC
27514-2657
US

IV. Provider business mailing address

976 MARTIN LUTHER KING JR BLVD STE 150
CHAPEL HILL NC
27514-2657
US

V. Phone/Fax

Practice location:
  • Phone: 919-968-2552
  • Fax: 919-968-4303
Mailing address:
  • Phone: 919-968-2552
  • Fax: 919-968-4303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020007
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: