MEDICARE: MS. ROBYN REEVES CODRINGTON MSW, LCSW, CCS

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	C006232	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467607549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBYN REEVES CODRINGTON MSW, LCSW, CCS

Provider Business Mailing Address
First Line	:	3139 AMITY CT
Second Line	:	SUITE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-4934
Country	:	US
Telephone Number	:	704-566-3633
Fax Number	:	704-288-4391

Provider Business Practice Location Address
First Line	:	3139 AMITY CT
Second Line	:	SUITE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-4934
Country	:	US
Telephone Number	:	704-566-3633
Fax Number	:	704-288-4391

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

Provider Enumeration Date	:	11/17/2008
Last Update Date	:	10/12/2012

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