Healthcare Provider Details

I. General information

NPI: 1073436739
Provider Name (Legal Business Name): CAMRYN L ELSWICK LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 MILITARY CUTOFF RD STE 210
WILMINGTON NC
28403-3638
US

IV. Provider business mailing address

4647 FAIRVIEW DR UNIT 2-104
WILMINGTON NC
28412-3679
US

V. Phone/Fax

Practice location:
  • Phone: 910-444-4771
  • Fax:
Mailing address:
  • Phone: 606-634-9856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023863
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: