Ibrahim, Nivien
Ibrahim, Nivien is an sole proprietor health care provider with primary practice located at 8838 Us Highway 70 W Suite 200C, Clayton NC 27520-4822. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ibrahim, Nivien can be contacted via phone (919) 946-8644.Contact Information
Primary practice address
8838 Us Highway 70 W Suite 200C
Clayton NC 27520-4822
Phone: (919) 946-8644
Fax: (919) 550-2913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004122 | North Carolina |
Profile Details
| NPI number | 1275605347 |
|---|---|
| LBN Legal business name | Ibrahim, Nivien |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Feb 9th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275605347 | NPPES |
| North Carolina | Other | 1415Y | BCBS |
| North Carolina | MEDICAID | 6106317 | BCBS |
| North Carolina | Other | 127852 | BCBS |
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