Individual
MS. CARISSA NICOLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
2489 WENDELL BLVD, WENDELL, NC 27591-6903
(919) 792-0835
(919) 792-0835
Mailing address
2489 WENDELL BLVD, WENDELL, NC 27591-6903
(919) 792-0835
(919) 792-0835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C018307
NC
104100000X
Social Worker
PO14138
NC
1041C0700X
Clinical Social Worker
C018307
NC
1041C0700X
Clinical Social Worker
Primary
PO14138
NC
Other
Enumeration date
01/06/2020
Last updated
08/12/2025
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