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NPI Code Detail

MEDICARE: HANNAH IRENE KORYCINSKI LCSW

MEDICARE: HANNAH IRENE KORYCINSKI 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
1104100000XSocial WorkerC020122NC

General Provider Information

NPI Number : 1871370791
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH IRENE KORYCINSKI LCSW
Provider Business Mailing Address
First Line : 4613 FEARRINGTON POST
Second Line :
City : PITTSBORO
State : NC
Zip : 27312-5075
Country : US
Telephone Number : 240-462-8479
Fax Number :
Provider Business Practice Location Address
First Line : 5401 SIX FORKS RD STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27609-4462
Country : US
Telephone Number : 919-704-8449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2023
Last Update Date : 06/01/2026

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