Danielle Nicole Poteat, LCSWA
Individual provider Active NPI Clinical Social Worker · Lake Waccamaw, NC
NPI 1194455584 · NPPES record last updated Jun 16, 2022
Key facts
- NPI
- 1194455584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P017589 (NC)
- Practice address
- 400 Flemington Dr
Lake Waccamaw, NC 28450 - Phone
- (704) 718-8914
- NPI assigned
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P017589 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P017589 | NC | Yes |
Addresses
Primary practice location
400 Flemington Dr
Lake Waccamaw, NC 28450
Mailing address
PO Box 127
Lake Waccamaw, NC 28450-0127
Phone (704) 718-8914
Other providers in Lake Waccamaw, NC
- Lake Pointe Assisted Living, Inc.
- Lake Waccamaw Fire & Rescue Squad
- Lake Waccamaw Primary Care, PLLC
- De'Voncia Lachel Mickins
- New Opportunities of Columbus Co.
- Premier Living and Healthcare Center LLC
- Premier Living and Rehab Center
- Amy Lawson Richardson
- Thompson Child & Family Focus
- Thompson Child & Family Focus
All providers in Lake Waccamaw, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.