Healthcare Provider Details

I. General information

NPI: 1699129429
Provider Name (Legal Business Name): SANA FATIMA ANAS LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6827 MIDDLEBORO DR
RALEIGH NC
27612-2670
US

IV. Provider business mailing address

6827 MIDDLEBORO DR
RALEIGH NC
27612-2670
US

V. Phone/Fax

Practice location:
  • Phone: 919-961-8329
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4873
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011343
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: