MEDICARE: CATHOLIC SOCIAL SERVICES, INC.

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	251V00000X	Voluntary or Charitable Agency	C002368	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346357704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC SOCIAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	50 ORANGE ST
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2341
Country	:	US
Telephone Number	:	828-255-0146
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 ORANGE ST
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2341
Country	:	US
Telephone Number	:	828-255-0146
Fax Number	:

Authorized Official
Title or Position	:	AREA OFFICE DIRECTOR
Name	:	MRS. DEBRA R BRAESE
Credential	:	LCSW, ACSW
Telephone Number	:	828-255-0146

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/22/2020

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