Elizabeth Daniels, LCSW-A

Individual provider Active NPI Clinical Social Worker · Roxboro, NC

NPI 1962821025 · NPPES record last updated Apr 15, 2014

Key facts

NPI
1962821025
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P008565 (NC)
Practice address
22 Barden PL Apt C
Roxboro, NC 27573-5491
Phone
(347) 794-1830
Fax
(888) 421-1169
NPI assigned
Apr 15, 2014
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

LicenseStateTypeSpecialty
P008565NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P008565 NC Yes

Addresses

Primary practice location

22 Barden PL Apt C
Roxboro, NC 27573-5491

Mailing address

22 Barden PL Apt C
Roxboro, NC 27573-5491
Phone (347) 794-1830

Other providers in Roxboro, NC

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

Sources for this page

Verify at the official NPI Registry.