MEDICARE: CATAWBA COUNTY OFFICE OF ACCOUNTANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	103TC0700X	Clinical Psychologist
4	103TC2200X	Clinical Child & Adolescent Psychologist
5	1041C0700X	Clinical Social Worker
6	106H00000X	Marriage & Family Therapist	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0728U	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457326357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATAWBA COUNTY OFFICE OF ACCOUNTANT

Provider Business Mailing Address
First Line	:	3050 11TH AVENUE DR SE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-8336
Country	:	US
Telephone Number	:	828-695-6500
Fax Number	:	828-695-4729

Provider Business Practice Location Address
First Line	:	3050 11TH AVENUE DR SE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-8336
Country	:	US
Telephone Number	:	828-695-6500
Fax Number	:	828-695-4729

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MS. JANINE SZYMANSKI
Credential	:	LPA
Telephone Number	:	828-695-6500

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	10/16/2013

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1528133733 — COUNTY OF CATAWBA OFFICE OF ACCOUNTANT
Practice Location Address:

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Practice Fax: 828-695-4729

Directions to “CATAWBA COUNTY OFFICE OF ACCOUNTANT ” Practice Location

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