MEDICARE: MS. MARSHA ANN OPE 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
1	1041C0700X	Clinical Social Worker	C008423	NC

General Provider Information

NPI Number	:	1609300813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARSHA ANN OPE LCSW

Provider Business Mailing Address
First Line	:	120 COBBLESTONE LN
Second Line	:
City	:	KING
State	:	NC
Zip	:	27021-8244
Country	:	US
Telephone Number	:	336-701-2585
Fax Number	:

Provider Business Practice Location Address
First Line	:	4933 BULLS BAY CT
Second Line	:
City	:	PARKTON
State	:	NC
Zip	:	28371-9160
Country	:	US
Telephone Number	:	336-624-0280
Fax Number	:

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

Provider Enumeration Date	:	04/13/2017
Last Update Date	:	05/01/2024

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