Provider Demographics
NPI:1184703241
Name:HAMRICK, TERRI ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:ANN
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 531
Mailing Address - Street 2:33 ABBITT STREET, SUITE 108
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-0531
Mailing Address - Country:US
Mailing Address - Phone:336-599-7473
Mailing Address - Fax:336-599-5428
Practice Address - Street 1:33 ABBITT ST
Practice Address - Street 2:SUITE 108
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-5201
Practice Address - Country:US
Practice Address - Phone:336-599-7473
Practice Address - Fax:336-599-5428
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC498101YA0400X
NCC0002231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical