Provider Demographics
NPI:1043496383
Name:BEAN, RONDA W (MSW LCSW ACSW)
Entity type:Individual
Prefix:MS
First Name:RONDA
Middle Name:W
Last Name:BEAN
Suffix:
Gender:F
Credentials:MSW LCSW ACSW
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:211 E SIX FORKS ROAD
Mailing Address - Street 2:SUITE 219 RONDA BEAN ACSW LCSW INC
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7755
Mailing Address - Country:US
Mailing Address - Phone:919-834-6864
Mailing Address - Fax:919-676-2026
Practice Address - Street 1:211 E SIX FORKS ROAD
Practice Address - Street 2:SUITE 219 RONDA BEAN ACSW LCSW INC
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7755
Practice Address - Country:US
Practice Address - Phone:919-834-6864
Practice Address - Fax:919-676-2026
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0016421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical