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NPI Code Detail

MEDICARE: BRIANNA NICOLE SEAWELL LCSW

MEDICARE: BRIANNA NICOLE SEAWELL 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 WorkerC018618NC

General Provider Information

NPI Number : 1326775248
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA NICOLE SEAWELL LCSW
Provider Business Mailing Address
First Line : 284 EXECUTIVE PARK DR STE 100
Second Line :
City : CONCORD
State : NC
Zip : 28025-1833
Country : US
Telephone Number : 704-939-1100
Fax Number : 704-939-1173
Provider Business Practice Location Address
First Line : 185 W ILLINOIS AVE
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-5808
Country : US
Telephone Number : 910-310-6635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 12/01/2025

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Directions to “ BRIANNA NICOLE SEAWELL LCSW” Practice Location

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