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NPI Code Detail

MEDICARE: VANESSA M LUNA LCSW

MEDICARE: VANESSA M LUNA 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 WorkerC017765NC

General Provider Information

NPI Number : 1619693173
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA M LUNA LCSW
Provider Business Mailing Address
First Line : 2015 AYRSLEY TOWN BLVD STE 202
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4068
Country : US
Telephone Number : 980-216-8009
Fax Number :
Provider Business Practice Location Address
First Line : 2015 AYRSLEY TOWN BLVD STE 202
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4068
Country : US
Telephone Number : 980-216-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2022
Last Update Date : 02/10/2026

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Directions to “ VANESSA M LUNA LCSW” Practice Location

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