MEDICARE: BRANDI LYNN STONE 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	103983	TX
2	1041C0700X	Clinical Social Worker	C011143	NC

General Provider Information

NPI Number	:	1326416835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI LYNN STONE LCSW

Provider Business Mailing Address
First Line	:	2910 EAST FRANKLIN BLVD #1
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28056
Country	:	US
Telephone Number	:	704-648-0460
Fax Number	:	855-446-7146

Provider Business Practice Location Address
First Line	:	525 N TRYON ST STE 1610
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-0202
Country	:	US
Telephone Number	:	888-231-8880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2015
Last Update Date	:	05/31/2022

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Directions to “ BRANDI LYNN STONE LCSW” Practice Location

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