Healthcare Provider Details

I. General information

NPI: 1801027636
Provider Name (Legal Business Name): ELIZABETH DENISE WEBB LCSW, LSSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 01/21/2024
Certification Date: 01/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 ENTERPRISE RD
GREENSBORO NC
27408-1992
US

IV. Provider business mailing address

3503 BRASSFIELD OAKS DR
GREENSBORO NC
27410-2136
US

V. Phone/Fax

Practice location:
  • Phone: 347-589-3617
  • Fax:
Mailing address:
  • Phone: 347-589-3617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC007725
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: