MEDICARE: CAROLIE ATHERTON, MSW, 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1316878937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLIE ATHERTON, MSW, LCSW

Provider Business Mailing Address
First Line	:	1805 BARNABUS CIR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4800
Country	:	US
Telephone Number	:	910-723-1369
Fax Number	:	910-310-2235

Provider Business Practice Location Address
First Line	:	1805 BARNABUS CIR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4800
Country	:	US
Telephone Number	:	910-723-1369
Fax Number	:	910-310-2235

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLIE TOMPKINS ATHERTON
Credential	:	MSW, LCSW
Telephone Number	:	910-723-1369

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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