MEDICARE: HEATHER DANCY DBH, LCSW, MSW

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	1041S0200X	School Social Worker		NC
2	1041C0700X	Clinical Social Worker	C010069	NC

General Provider Information

NPI Number	:	1710486758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER DANCY DBH, LCSW, MSW

Provider Business Mailing Address
First Line	:	121 W CENTER STREET EXT
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-1548
Country	:	US
Telephone Number	:	336-442-3271
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 W CENTER STREET EXT
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-1548
Country	:	US
Telephone Number	:	336-442-3271
Fax Number	:

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

Provider Enumeration Date	:	02/05/2018
Last Update Date	:	10/01/2024

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