Healthcare Provider Details

I. General information

NPI: 1396618138
Provider Name (Legal Business Name): DANIEL MARTIN EFIRD LCSWA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2432 S CHURCH ST
BURLINGTON NC
27215-5291
US

IV. Provider business mailing address

136 GEORGETOWNE DR
ELON NC
27244-8314
US

V. Phone/Fax

Practice location:
  • Phone: 336-494-8885
  • Fax: 336-281-0101
Mailing address:
  • Phone: 336-539-1648
  • Fax: 336-281-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022257
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: