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NPI Code Detail

MEDICARE: MRS. AMANDA GREEN WOOD LCSW

MEDICARE:  MRS. AMANDA GREEN WOOD  LCSW
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
11041C0700XClinical Social WorkerC009216NC

General Provider Information

NPI Number : 1053733816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA GREEN WOOD LCSW
Provider Business Mailing Address
First Line : 3000 HIGHWOODS BLVD
Second Line : SUITE 310
City : RALEIGH
State : NC
Zip : 27604
Country : US
Telephone Number : 919-675-3568
Fax Number :
Provider Business Practice Location Address
First Line : 3000 HIGHWOODS BLVD
Second Line : SUITE 310
City : RALEIGH
State : NC
Zip : 27604
Country : US
Telephone Number : 919-675-3568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2014
Last Update Date : 01/14/2026

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Directions to “ MRS. AMANDA GREEN WOOD LCSW” Practice Location

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