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NPI Code Detail

MEDICARE: CATY CARPENTER EDWARDS LCSW

MEDICARE: CATY CARPENTER EDWARDS 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 WorkerC007335NC

General Provider Information

NPI Number : 1750516290
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATY CARPENTER EDWARDS LCSW
Provider Business Mailing Address
First Line : 303 DOGWOOD LN
Second Line :
City : WADESBORO
State : NC
Zip : 28170-2827
Country : US
Telephone Number : 704-242-2740
Fax Number :
Provider Business Practice Location Address
First Line : 769 N WENDOVER RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-1118
Country : US
Telephone Number : 704-376-7180
Fax Number : 704-531-9266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 07/13/2018

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