Sheila L Stansberry, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Bayboro, NC

NPI 1104940691 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1104940691
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C001910 (NC)
Practice address
13531 Highway 55
Pamlico Pediatrics
Bayboro, NC 28515-0000
Phone
(252) 745-2070
Fax
(252) 745-2202
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C001910NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C001910 NC Yes

Addresses

Primary practice location

13531 Highway 55
Pamlico Pediatrics
Bayboro, NC 28515-0000

Mailing address

2107 Henderson Ave
New Bern, NC 28560-5311
Phone (252) 633-2354

Other identifiers

IdentifierTypeStateIssuer
6002854MedicaidNC

Other providers in Bayboro, NC

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

Sources for this page

Verify at the official NPI Registry.