Provider Demographics
NPI:1033465372
Name:RIVENBARK, LAUREN SLUSHER (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:SLUSHER
Last Name:RIVENBARK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10805 CHEERY KNL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8487
Mailing Address - Country:US
Mailing Address - Phone:910-619-8498
Mailing Address - Fax:
Practice Address - Street 1:10805 CHEERY KNL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8487
Practice Address - Country:US
Practice Address - Phone:910-619-8498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0088731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical