Georgianna Mack, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Red Springs, NC
NPI 1447570577 · NPPES record last updated Jun 11, 2010
Key facts
- NPI
- 1447570577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C006691 (NC)
- Practice address
- 1244 Mount Tabor Rd
Red Springs, NC 28377-6324 - Phone
- (910) 843-7366
- NPI assigned
- Jun 11, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C006691 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006691 | NC | Yes |
Addresses
Primary practice location
1244 Mount Tabor Rd
Red Springs, NC 28377-6324
Mailing address
1244 Mount Tabor Rd
Red Springs, NC 28377-6324
Phone (910) 843-7366
Other providers in Red Springs, NC
- Kenneth Edward Locklear
- Kimberly Michelle Locklear
- Shakelah Beth Locklear
- Loving Tree Center, LLC
- Jada Brooke Lowry
- Majestic Home Care
- Majestic Home Care
- Lindsey Amanda McCormick
- Tiffany McCormick
- Cleophas Louis McMillan
All providers in Red Springs, 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 11, 2010. 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.