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NPI Code Detail

MEDICARE: ANTHONY MACON BA, LCSW

MEDICARE: ANTHONY MACON BA, 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 WorkerC013066NC

General Provider Information

NPI Number : 1215369095
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY MACON BA, LCSW
Provider Business Mailing Address
First Line : 29 N MARKET ST STE 300
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-2924
Country : US
Telephone Number : 828-606-4705
Fax Number : 828-579-2757
Provider Business Practice Location Address
First Line : 29 N MARKET ST STE 300
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-2924
Country : US
Telephone Number : 828-407-1047
Fax Number : 828-579-2757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2013
Last Update Date : 02/26/2026

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