Shaun A Bryson

Individual provider Active NPI Clinical Social Worker · Black Mountain, NC

NPI 1801633748 · NPPES record last updated Jul 9, 2024

Key facts

NPI
1801633748
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
201 Tabernacle Rd
Black Mountain, NC 28711-2526
Phone
(828) 257-6200
NPI assigned
Jul 9, 2024
Sex
Male
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

Specialties & licenses

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

Addresses

Primary practice location

201 Tabernacle Rd
Black Mountain, NC 28711-2526

Mailing address

57 Earley Street
Canton, NC 28716
Phone (828) 246-3699

Other providers in Black Mountain, NC

All providers in Black Mountain, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.