MEDICARE: ANGELA ELAINE BUCHANAN LCSW,LCAS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	3502	NC
2	1041C0700X	Clinical Social Worker	C018622	NC

General Provider Information

NPI Number	:	1710395330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA ELAINE BUCHANAN LCSW,LCAS

Provider Business Mailing Address
First Line	:	PO BOX 2272
Second Line	:
City	:	HENDERSONVILLE
State	:	NC
Zip	:	28793-2272
Country	:	US
Telephone Number	:	828-692-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 7TH AVE E
Second Line	:
City	:	HENDERSONVILLE
State	:	NC
Zip	:	28792-3802
Country	:	US
Telephone Number	:	828-505-6012
Fax Number	:	828-692-7710

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

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	09/30/2025

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