MEDICARE: MS. CARLENE MESSER 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	C005005	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2252650	OTHER	NC	CIGNA BEHAVIORAL HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	183620	OTHER	NC	MEDCOST

General Provider Information

NPI Number	:	1770551343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARLENE MESSER LCSW

Provider Business Mailing Address
First Line	:	2630 FILSON COURT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214
Country	:	US
Telephone Number	:	828-964-3576
Fax Number	:

Provider Business Practice Location Address
First Line	:	2630 FILSON COURT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214
Country	:	US
Telephone Number	:	828-964-3576
Fax Number	:

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/22/2023

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