MEDICARE: CAMRYN D SALTPAW

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	P022040	NC

General Provider Information

NPI Number	:	1578379723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMRYN D SALTPAW

Provider Business Mailing Address
First Line	:	3808 HOLLY OAK DR UNIT 15
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-1286
Country	:	US
Telephone Number	:	910-849-7357
Fax Number	:

Provider Business Practice Location Address
First Line	:	1014 HAY ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5316
Country	:	US
Telephone Number	:	910-745-8895
Fax Number	:

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

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	01/07/2026

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Directions to “ CAMRYN D SALTPAW ” Practice Location

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