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NPI Code Detail

MEDICARE: MS. CAROLINE TRIPPE BARNDT , MSW, LCSW

MEDICARE: MS. CAROLINE TRIPPE BARNDT , MSW, 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 WorkerC008203NC

General Provider Information

NPI Number : 1891136578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLINE TRIPPE BARNDT , MSW, LCSW
Provider Business Mailing Address
First Line : 325 TILLAMOOK DR
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-4954
Country : US
Telephone Number : 919-710-3421
Fax Number :
Provider Business Practice Location Address
First Line : 6112 SAINT GILES ST
Second Line :
City : RALEIGH
State : NC
Zip : 27612-7043
Country : US
Telephone Number : 919-893-4465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2013
Last Update Date : 12/04/2024

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