Jillian Ann McDowell

Individual provider Active NPI Clinical Social Worker · Concord, NC

NPI 1700582004 · NPPES record last updated Feb 13, 2023

Key facts

NPI
1700582004
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P018505 (NC)
Practice address
2324 Concord Lake Rd
Concord, NC 28025-2814
Phone
(704) 918-1343
NPI assigned
Feb 7, 2023
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

LicenseStateTypeSpecialty
P018505NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P018505 NC Yes

Addresses

Primary practice location

2324 Concord Lake Rd
Concord, NC 28025-2814

Mailing address

2324 Concord Lake Rd
Concord, NC 28025-2814
Phone (704) 918-1343

Other providers in Concord, NC

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

Sources for this page

Verify at the official NPI Registry.