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NPI Code Detail

MEDICARE: AMANDA BRIGHT SOMERS LCSW

MEDICARE: AMANDA BRIGHT SOMERS 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 WorkerP009764NC

General Provider Information

NPI Number : 1477906543
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BRIGHT SOMERS LCSW
Provider Business Mailing Address
First Line : 408 E 11TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3719
Country : US
Telephone Number : 252-975-2027
Fax Number : 252-975-3483
Provider Business Practice Location Address
First Line : 408 E 11TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3719
Country : US
Telephone Number : 252-975-2027
Fax Number : 252-975-3483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2016
Last Update Date : 06/12/2025

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Directions to “ AMANDA BRIGHT SOMERS LCSW” Practice Location

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