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NPI Code Detail

MEDICARE: ADRIENNE FERN MAGES MSW, LCSW

MEDICARE:   ADRIENNE FERN MAGES  MSW, 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 WorkerCSW006875GA
21041C0700XClinical Social WorkerC011774NC
31041C0700XClinical Social WorkerLCSW117372CA

General Provider Information

NPI Number : 1578120051
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE FERN MAGES MSW, LCSW
Provider Business Mailing Address
First Line : 3418 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-3254
Country : US
Telephone Number : 919-819-2725
Fax Number :
Provider Business Practice Location Address
First Line : 3418 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-3254
Country : US
Telephone Number : 919-819-2725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 02/03/2025

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Directions to “ ADRIENNE FERN MAGES MSW, LCSW” Practice Location

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