Healthcare Provider Details

I. General information

NPI: 1467208645
Provider Name (Legal Business Name): ALMISHA ZANDERS MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2024
Last Update Date: 04/27/2024
Certification Date: 04/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 FAIRWAY DR
FAYETTEVILLE NC
28305-5502
US

IV. Provider business mailing address

20 ASCOT POINT CIR APT 104
ASHEVILLE NC
28803-1477
US

V. Phone/Fax

Practice location:
  • Phone: 910-491-8186
  • Fax: 910-808-1042
Mailing address:
  • Phone: 912-601-4134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020336
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: