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NPI Code Detail

MEDICARE: ESSIE LOUISE BELL LCSW

MEDICARE:   ESSIE LOUISE BELL  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 WorkerC005246NC

General Provider Information

NPI Number : 1407917925
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESSIE LOUISE BELL LCSW
Provider Business Mailing Address
First Line : 3633 CITISIDE DR
Second Line : APT 204
City : CHARLOTTE
State : NC
Zip : 28215-1568
Country : US
Telephone Number : 704-537-8748
Fax Number :
Provider Business Practice Location Address
First Line : 107 SCALEYBARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-2608
Country : US
Telephone Number : 704-567-8690
Fax Number : 866-691-8326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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Directions to “ ESSIE LOUISE BELL LCSW” Practice Location

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