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NPI Code Detail

MEDICARE: MR. PETER MATTHEW ARNOLD-ROBICHAUX LCSW

MEDICARE: MR. PETER MATTHEW ARNOLD-ROBICHAUX LCSW
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 Worker149015882IL
2104100000XSocial Worker390200000XMI
3104100000XSocial Worker
41041C0700XClinical Social WorkerC15345NC

General Provider Information

NPI Number : 1215186234
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER MATTHEW ARNOLD-ROBICHAUX LCSW
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13815 PROFESSIONAL CENTER DR STE 100
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7951
Country : US
Telephone Number : 704-384-1320
Fax Number : 704-316-3138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2008
Last Update Date : 12/16/2025

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