MEDICARE: MR. ELHANAN JERAHMEEL BONE LMSW, LCSWA

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	104100000X	Social Worker	MSW012761	GA
2	104100000X	Social Worker	P021923	NC

General Provider Information

NPI Number	:	1811851512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ELHANAN JERAHMEEL BONE LMSW, LCSWA

Provider Business Mailing Address
First Line	:	8116 TIBURON CIR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-9651
Country	:	US
Telephone Number	:	336-660-8421
Fax Number	:

Provider Business Practice Location Address
First Line	:	8116 TIBURON CIR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-9651
Country	:	US
Telephone Number	:	336-660-8421
Fax Number	:

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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