MEDICARE: CHARITY NEPTUNE

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	P023628	NC

General Provider Information

NPI Number	:	1356284715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARITY NEPTUNE

Provider Business Mailing Address
First Line	:	51 POPPY TRL
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2468
Country	:	US
Telephone Number	:	919-937-0627
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 S MAIN ST STE 300
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-7040
Country	:	US
Telephone Number	:	336-395-3336
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ CHARITY NEPTUNE ” Practice Location

Language	Start Address	Practice Location

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