MEDICARE: MS. DEANNA FLOYD LCSW-A

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	P023138	NC

General Provider Information

NPI Number	:	1740145655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEANNA FLOYD LCSW-A

Provider Business Mailing Address
First Line	:	4102 YOUNGSTOWN DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-9719
Country	:	US
Telephone Number	:	267-414-4202
Fax Number	:

Provider Business Practice Location Address
First Line	:	3719 LATROBE DR STE 850L
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4827
Country	:	US
Telephone Number	:	980-254-6220
Fax Number	:

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

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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