Charles Wesley Mauney
Individual provider Active NPI Clinical Social Worker · Maxton, NC
NPI 1972188159 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1972188159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P015806 (NC)
- Practice address
- 109 W Central St
Maxton, NC 28364-1703 - Phone
- (910) 844-2267
- Fax
- (910) 401-1083
- NPI assigned
- Mar 10, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P015806 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Behavioral Healthcare Services | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P015806 | NC | Yes |
Addresses
Primary practice location
109 W Central St
Maxton, NC 28364-1703
Mailing address
PO Box 1004
Lumberton, NC 28359-1004
Phone (910) 844-2267
Other practice location 1
3581 Lackey St
Lumberton, NC 28360-9048
Phone (191) 073-8502 ext. 123
Other practice location 2
310 Harris Ave
Raeford, NC 28376-3110
Phone (910) 733-3482 ext. 123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932304714 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cARE360 |
Other providers in Maxton, NC
- Tamara Lynn Locklear
- Loving Touch Home Care
- Breeonna Leigh Lowry
- Lumber River Healthcare Center
- Laura Dianne Massey
- Maxton Rescue Squad, Inc
- Paul McDowell
- Ellen Lestine McMillian
- Mind on Demand LLC
- Michelle Nicholson-Wilson
All providers in Maxton, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.