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NPI Code Detail

MEDICARE: ELIZABETH B. HAYWOOD LCSW

MEDICARE:   ELIZABETH B. HAYWOOD  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 WorkerC006035NC

General Provider Information

NPI Number : 1568517126
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH B. HAYWOOD LCSW
Provider Business Mailing Address
First Line : 108 TRAVILAH OAKS LN
Second Line :
City : CARY
State : NC
Zip : 27511-2243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2670 DURHAM CHAPEL HILL BLVD
Second Line :
City : DURHAM
State : NC
Zip : 27707-2829
Country : US
Telephone Number : 919-251-9001
Fax Number : 919-251-9008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 02/08/2026

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