Provider Demographics
NPI:1043828197
Name:CURRENCE, PHYLICIA (LCSW)
Entity type:Individual
Prefix:
First Name:PHYLICIA
Middle Name:
Last Name:CURRENCE
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 1:5890 MANTLE WAY
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-4385
Mailing Address - Country:US
Mailing Address - Phone:704-458-3061
Mailing Address - Fax:
Practice Address - Street 1:5890 MANTLE WAY
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-4385
Practice Address - Country:US
Practice Address - Phone:704-458-3061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0141501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical