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NPI Code Detail

MEDICARE: MS. DARREN THOMASINA LIVINGSTON MSW LCSW P

MEDICARE:  MS. DARREN THOMASINA LIVINGSTON  MSW LCSW P
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 WorkerP003815NC

General Provider Information

NPI Number : 1962534610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DARREN THOMASINA LIVINGSTON MSW LCSW P
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-474-8921
Fax Number :
Provider Business Practice Location Address
First Line : 309 PINEYWOOD RD
Second Line :
City : THOMASVILLE
State : NC
Zip : 27360-3438
Country : US
Telephone Number : 336-474-8921
Fax Number : 336-474-8923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 03/29/2017

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Directions to “ MS. DARREN THOMASINA LIVINGSTON MSW LCSW P” Practice Location

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