MEDICARE: MAHOGANY JADE TORRENCE

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	104100000X	Social Worker	000035799033	NC

General Provider Information

NPI Number	:	1508710757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHOGANY JADE TORRENCE

Provider Business Mailing Address
First Line	:	711 SAWYERS MILL RD APT 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1847
Country	:	US
Telephone Number	:	757-270-6952
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 SAWYERS MILL RD APT 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1847
Country	:	US
Telephone Number	:	757-270-6952
Fax Number	:

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

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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Directions to “ MAHOGANY JADE TORRENCE ” Practice Location

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