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NPI Code Detail

MEDICARE: MS. SARAH NICOLE WINNICK MSW, LCSW-A, LCAS-A

MEDICARE: MS. SARAH NICOLE WINNICK MSW, LCSW-A, LCAS-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-26613NC
2101YM0800XMental Health CounselorP014584NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023607538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH NICOLE WINNICK MSW, LCSW-A, LCAS-A
Provider Business Mailing Address
First Line : 1015 CONFERENCE DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-5969
Country : US
Telephone Number : 252-695-0269
Fax Number :
Provider Business Practice Location Address
First Line : 1015 CONFERENCE DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-5969
Country : US
Telephone Number : 252-695-0269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2021
Last Update Date : 01/11/2021

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