MEDICARE: MRS. ERIN HUNEYCUTT 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	C007163	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639317357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN HUNEYCUTT LCSW

Provider Business Mailing Address
First Line	:	919 N MAIN ST STE B
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28115-2355
Country	:	US
Telephone Number	:	704-660-6854
Fax Number	:	704-662-0866

Provider Business Practice Location Address
First Line	:	919 N MAIN ST STE B
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28115-2355
Country	:	US
Telephone Number	:	704-904-6642
Fax Number	:	704-662-0866

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

Provider Enumeration Date	:	02/03/2009
Last Update Date	:	02/08/2021

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