Tamiko Loftin, LCSW

Individual provider Active NPI Clinical Social Worker · La Grange, NC

NPI 1295310308 · NPPES record last updated Mar 10, 2021

Key facts

NPI
1295310308
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C006855 (NC)
Practice address
605 S Caswell St
La Grange, NC 28551-2007
Phone
(252) 268-6359
NPI assigned
Mar 10, 2021
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
C006855NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006855 NC Yes

Addresses

Primary practice location

605 S Caswell St
La Grange, NC 28551-2007

Mailing address

605 S Caswell St
La Grange, NC 28551-2007
Phone (252) 268-6359

Other providers in La Grange, NC

All providers in La Grange, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.