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NPI Code Detail

MEDICARE: PRISCILLA CASTILLO

MEDICARE: PRISCILLA CASTILLO
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
11041C0700XClinical Social WorkerP022499NC

General Provider Information

NPI Number : 1154299717
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA CASTILLO
Provider Business Mailing Address
First Line : 1703 COUNTRY CLUB RD STE 204
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6098
Country : US
Telephone Number : 910-347-3010
Fax Number :
Provider Business Practice Location Address
First Line : 1703 COUNTRY CLUB RD STE 204
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6098
Country : US
Telephone Number : 910-347-3010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2025
Last Update Date : 10/28/2025

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1619662681 — CHRISSY DAWN KEEFE MSW LCSWA
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Directions to “ PRISCILLA CASTILLO ” Practice Location

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