Healthcare Provider Details

I. General information

NPI: 1316901358
Provider Name (Legal Business Name): WILLIAM DUANE ANGLIN MA, MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA MEDICAL CENTER 2300 RAMSEY STREET
FAYETTEVILLE NC
28301
US

IV. Provider business mailing address

607 LONGVIEW DR
FAYETTEVILLE NC
28311-2113
US

V. Phone/Fax

Practice location:
  • Phone: 910-488-2120
  • Fax: 910-482-5130
Mailing address:
  • Phone: 910-482-5234
  • Fax: 910-482-5130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC003550
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberC003550
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: