Kristina Denise Mccollum, LCSWA LCASA is a
Social Worker - Clinical based in Charlotte, North Carolina. Kristina Denise Mccollum is licensed to practice in North Carolina (license number P015379) and her current practice location is
100 Billingsley Rd, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 376-7447.
NPI number for Kristina Denise Mccollum is 1225630502 and her current mailing address is 100 Billingsley Rd, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225630502.
Healthcare Provider's Profile
Full Name | Kristina Denise Mccollum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 100 Billingsley Rd, Charlotte, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225630502
- Provider Enumeration Date: 11/12/2020
- Last Update Date: 03/18/2024
Medical Identifiers
Medical identifiers for Kristina Denise Mccollum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225630502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 26061 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P015379 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristina Denise Mccollum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristina Denise Mccollum, LCSWA LCASA 100 Billingsley Rd, Charlotte, NC 28211-1002 Ph: (704) 376-7447 | Kristina Denise Mccollum, LCSWA LCASA 100 Billingsley Rd, Charlotte, NC 28211-1002 Ph: (704) 376-7447 |
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