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NPI Code Detail

MEDICARE: CARMEN GIVENS

MEDICARE:   CARMEN  GIVENS
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-21138NC
21041C0700XClinical Social WorkerC010509NC
31041C0700XClinical Social WorkerP009193NC

General Provider Information

NPI Number : 1508267030
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN GIVENS
Provider Business Mailing Address
First Line : 114 24TH ST NW
Second Line :
City : HICKORY
State : NC
Zip : 28601-5733
Country : US
Telephone Number : 828-461-8699
Fax Number :
Provider Business Practice Location Address
First Line : 1345 NC HIGHWAY 268
Second Line :
City : LENOIR
State : NC
Zip : 28645-9027
Country : US
Telephone Number : 828-754-6850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2014
Last Update Date : 12/07/2022

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Directions to “ CARMEN GIVENS ” Practice Location

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