MEDICARE: MR. BANG DUONG L.C.S.W

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	C008171	NC

General Provider Information

NPI Number	:	1487995387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BANG DUONG L.C.S.W

Provider Business Mailing Address
First Line	:	4651 CHARLOTTE PARK DR
Second Line	:	SUITE 101-E
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-1956
Country	:	US
Telephone Number	:	704-323-6988
Fax Number	:

Provider Business Practice Location Address
First Line	:	4651 CHARLOTTE PARK DR
Second Line	:	SUITE 101 E
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-1956
Country	:	US
Telephone Number	:	704-323-6988
Fax Number	:

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

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	05/02/2013

Similar Medicare Providers

1346483856 — SUSAN GRAY SHIRLEY ARNP
Practice Location Address:

4651 CHARLOTTE PARK DR , SUITE 300
CHARLOTTE, NC
28217-1956

Practice Phone: 813-977-2777
Practice Fax:

1407296510 — ANTRANIQUE NEBLETT, LCSW
Practice Location Address:

4651 CHARLOTTE PARK DR , SUITE 101-E
CHARLOTTE, NC
28217-1956

Practice Phone: 704-251-5146
Practice Fax:

1023552478 — MS. JORDAN HAUSER M.S.
Practice Location Address:

4651 CHARLOTTE PARK DR , SUITE 300
CHARLOTTE, NC
28217-1956

Practice Phone: 704-936-5567
Practice Fax:

1316452923 — EMILY LACK
Practice Location Address:

4651 CHARLOTTE PARK DR
CHARLOTTE, NC
28217-1956

Practice Phone: 704-936-5550
Practice Fax:

1811563158 — THE C.W. WILLIAMS COMMUNITY HEALTH CENTER, INC
Practice Location Address:

5800 OLD PINEVILLE RD STE 100
CHARLOTTE, NC
28217-4106

Practice Phone: 704-393-7720
Practice Fax:

1669206298 — THE C. W. WILLIAMS COMMUNITY HEALTH CENTER PHARMACY
Practice Location Address:

5800 OLD PINEVILLE RD STE 101
CHARLOTTE, NC
28217-4106

Practice Phone: 704-393-7720
Practice Fax: 704-398-3173

Directions to “ MR. BANG DUONG L.C.S.W” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.