Shirley Katherine Coates, LCSW

Individual provider Active NPI Clinical Social Worker · Hubert, NC

NPI 1720796709 · NPPES record last updated Dec 12, 2023

Key facts

NPI
1720796709
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C015681 (NC)
Practice address
502 Aberdineshire CT
Hubert, NC 28539-4616
Phone
(910) 546-9486
NPI assigned
Nov 9, 2022
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)
Yes

State licenses

LicenseStateTypeSpecialty
P018367NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P018367 NC
Clinical Social Worker 1041C0700X C015681 NC Yes

Addresses

Primary practice location

502 Aberdineshire CT
Hubert, NC 28539-4616

Mailing address

502 Aberdineshire CT
Hubert, NC 28539-4616
Phone (910) 546-9486

Other names

  • Shirley Katherine Carchi Former name

Other providers in Hubert, NC

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

Sources for this page

Verify at the official NPI Registry.