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NPI Code Detail

MEDICARE: MS. ELISABETH HAYES HARGROVE MSW, MPH, LCSW

MEDICARE: MS. ELISABETH HAYES HARGROVE MSW, MPH, 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 WorkerC005502NC

General Provider Information

NPI Number : 1457408866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELISABETH HAYES HARGROVE MSW, MPH, LCSW
Provider Business Mailing Address
First Line : 2530 MERIDIAN PKWY STE 115
Second Line :
City : DURHAM
State : NC
Zip : 27713-5273
Country : US
Telephone Number : 704-360-3637
Fax Number : 855-857-7333
Provider Business Practice Location Address
First Line : 2530 MERIDIAN PKWY STE 115
Second Line :
City : DURHAM
State : NC
Zip : 27713-5273
Country : US
Telephone Number : 704-360-3637
Fax Number : 855-857-7333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 04/14/2026

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