Howard Anthony

Individual provider Active NPI Clinical Social Worker · Selma, NC

NPI 1902265358 · NPPES record last updated Feb 14, 2016

Key facts

NPI
1902265358
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P010285 (NC)
Practice address
751 Olivia Way
Selma, NC 27576-7659
Phone
(919) 631-3298
NPI assigned
Feb 14, 2016
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

State licenses

LicenseStateTypeSpecialty
P010285NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P010285 NC Yes

Addresses

Primary practice location

751 Olivia Way
Selma, NC 27576-7659

Mailing address

751 Olivia Way
Selma, NC 27576-7659
Phone (919) 631-3298

Other providers in Selma, NC

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

Sources for this page

Verify at the official NPI Registry.