MEDICARE: MRS. CHRISTIE MANNING HERRING MSW, PLCSW

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	P005822	NC

General Provider Information

NPI Number	:	1427365121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTIE MANNING HERRING MSW, PLCSW

Provider Business Mailing Address
First Line	:	1139 WATERCRESS RD
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-7781
Country	:	US
Telephone Number	:	252-792-5715
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 WEST LIBERTY STREET
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-0000
Country	:	US
Telephone Number	:	252-792-5151
Fax Number	:

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

Provider Enumeration Date	:	09/02/2010
Last Update Date	:	09/02/2010

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