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NPI Code Detail

MEDICARE: MRS. ELIZABETH C RAINS MSW, LCSW

MEDICARE:  MRS. ELIZABETH C RAINS  MSW, 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 WorkerC003632NC

General Provider Information

NPI Number : 1992825764
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH C RAINS MSW, LCSW
Provider Business Mailing Address
First Line : 10900 WORLD TRADE BLVD
Second Line :
City : RALEIGH
State : NC
Zip : 27617-4202
Country : US
Telephone Number : 919-237-1337
Fax Number :
Provider Business Practice Location Address
First Line : 3904 OLEANDER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6717
Country : US
Telephone Number : 919-237-1337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 01/24/2024

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