Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Mirna Fuentes-Whitman, LCSW

Individual provider Clinical Social Worker · NPI 1770821449

Alexandra Mirna Fuentes-Whitman, LCSW is a Clinical Social Worker in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

250 Executive Park Blvd Ste 120
Winston Salem, NC 27103-1534
Phone: (336) 770-2477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P015784 (NC)

Record details

NPI number1770821449
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 30, 2013
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

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