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NPI Code Detail

MEDICARE: TAMEKA LA'SHUN'TEL SUTTON MSW, LCSW, CCTP

MEDICARE:   TAMEKA LA'SHUN'TEL SUTTON  MSW, LCSW, CCTP
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 WorkerP0161100NC
2101YM0800XMental Health CounselorP016100NC
3101YA0400XAddiction (Substance Use Disorder) CounselorP016100NC

General Provider Information

NPI Number : 1679142632
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMEKA LA'SHUN'TEL SUTTON MSW, LCSW, CCTP
Provider Business Mailing Address
First Line : 2708 BISHOPTON PL
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-9612
Country : US
Telephone Number : 980-301-3803
Fax Number :
Provider Business Practice Location Address
First Line : 2708 BISHOPTON PL
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-9612
Country : US
Telephone Number : 980-301-3803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/02/2026

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Directions to “ TAMEKA LA'SHUN'TEL SUTTON MSW, LCSW, CCTP” Practice Location

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