Healthcare Provider Details

I. General information

NPI: 1487341822
Provider Name (Legal Business Name): TIMOTHY PAUL SOBIECH LCSW-A
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E MEETING ST
MORGANTON NC
28655-3593
US

IV. Provider business mailing address

3138 PROVIDENCE MILL RD
MAIDEN NC
28650-8544
US

V. Phone/Fax

Practice location:
  • Phone: 828-437-3000
  • Fax: 828-437-4999
Mailing address:
  • Phone: 704-775-0016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCADC-26357
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024552
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: