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NPI Code Detail

MEDICARE: CAITLIN ASHLIE TOLLEY LCSWA

MEDICARE: CAITLIN ASHLIE TOLLEY LCSWA
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 WorkerP022951NC

General Provider Information

NPI Number : 1205789583
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN ASHLIE TOLLEY LCSWA
Provider Business Mailing Address
First Line : 2505 PEPPERSTONE DR
Second Line :
City : GRAHAM
State : NC
Zip : 27253-8475
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-7276
Country : US
Telephone Number : 252-999-0702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “ CAITLIN ASHLIE TOLLEY LCSWA” Practice Location

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