MEDICARE: ANGELA ESPIN 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
1	1041C0700X	Clinical Social Worker	C010999	NC

General Provider Information

NPI Number	:	1326440066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA ESPIN LCSW

Provider Business Mailing Address
First Line	:	845 CHURCH ST N STE 208-3
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-4300
Country	:	US
Telephone Number	:	704-517-2106
Fax Number	:	855-975-2701

Provider Business Practice Location Address
First Line	:	845 CHURCH ST N STE 208-3
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-4300
Country	:	US
Telephone Number	:	704-517-2106
Fax Number	:	855-975-2701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2014
Last Update Date	:	06/23/2026

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