Individual
MS. REBECCA L NAGAISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LMFT
Contact information
Practice address
610 COLISEUM DRIVE, FAMILY SERVICES, INC, WINSTON-SALEM, NC 27106
(336) 722-8173
(336) 724-6491
Mailing address
720 LA VALE DR, CLEMMONS, NC 27012-9042
(336) 722-8173
(336) 724-6491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
000067
NC
106H00000X
Marriage & Family Therapist
Primary
286
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003378
—
NC
Enumeration date
10/31/2006
Last updated
09/11/2025
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