MEDICARE: RENARD CUTHBERTSON

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	104100000X	Social Worker	P023379	NC

General Provider Information

NPI Number	:	1790643195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENARD CUTHBERTSON

Provider Business Mailing Address
First Line	:	4035 WOODLEAF BARBER RD
Second Line	:
City	:	CLEVELAND
State	:	NC
Zip	:	27013-9140
Country	:	US
Telephone Number	:	980-432-3998
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 KLUMAC RD
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28144-6758
Country	:	US
Telephone Number	:	980-643-4353
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ RENARD CUTHBERTSON ” Practice Location

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