Provider Demographics
NPI:1669000279
Name:AKASSON, DORI OXENDINE
Entity type:Individual
Prefix:
First Name:DORI
Middle Name:OXENDINE
Last Name:AKASSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DORI
Other - Middle Name:BETH
Other - Last Name:OXENDINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LCAS
Mailing Address - Street 1:104 MAJESTIC DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NC
Mailing Address - Zip Code:27569-9211
Mailing Address - Country:US
Mailing Address - Phone:919-988-3099
Mailing Address - Fax:
Practice Address - Street 1:1020 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1258
Practice Address - Country:US
Practice Address - Phone:919-988-3099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-30
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0144831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty