MEDICARE: MODERN SOCIAL SOLUTIONS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1013711522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODERN SOCIAL SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	208 BUCKHILL VILLAGE DR APT 103
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8264
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3511 SHANNON RD FL 3
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-6330
Country	:	US
Telephone Number	:	336-223-2906
Fax Number	:

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	WHITNEY MCDONALD
Credential	:	LCSWA
Telephone Number	:	336-504-0202

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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