Healthcare Provider Details

I. General information

NPI: 1356548713
Provider Name (Legal Business Name): MCDOWELL COUNTY DEPT. OF SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 05/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E COURT ST
MARION NC
28752-4042
US

IV. Provider business mailing address

PO BOX 338
MARION NC
28752-0338
US

V. Phone/Fax

Practice location:
  • Phone: 828-652-3355
  • Fax:
Mailing address:
  • Phone: 828-652-3355
  • Fax: 828-652-9167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. PHILLIP LEWIS HARDIN
Title or Position: DIRECTOR
Credential:
Phone: 828-652-3355