Provider Demographics
NPI:1073077244
Name:VERHINE, ANTONIA LEONORE (LCSW)
Entity type:Individual
Prefix:
First Name:ANTONIA
Middle Name:LEONORE
Last Name:VERHINE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANTONIA
Other - Middle Name:LEONORE
Other - Last Name:KOHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:265 DAVID HILL DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-9746
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2515 WATSON AVE STE 100
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27332-6173
Practice Address - Country:US
Practice Address - Phone:919-307-6551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-22
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0141361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical