John Christopher Yount, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Angier, NC

NPI 1023344488 · NPPES record last updated Nov 30, 2010

Key facts

NPI
1023344488
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C006220 (NC)
Practice address
45 Comm Park LN
Angier, NC 27501-5490
Phone
(919) 331-2013
Fax
(919) 331-2015
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
C006220NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psych on Site of North Carolina, Inc Clinical Past
since Jul 17, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006220 NC Yes

Addresses

Primary practice location

45 Comm Park LN
Angier, NC 27501-5490

Mailing address

45 Comm Park LN
Angier, NC 27501-5490
Phone (919) 331-2013

Other identifiers

IdentifierTypeStateIssuer
6007540MedicaidNC

Other providers in Angier, NC

All providers in Angier, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.