Miss Teal Venice Garvin, LCSW, LCAS, CCS is a
Social Worker - Clinical based in Charlotte, North Carolina. Miss Teal Venice Garvin is licensed to practice in North Carolina (license number C006557) and her current practice location is
3126 Milton Rd Ste 233, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 806-5013.
NPI number for Miss Teal Venice Garvin is 1568636199 and her current mailing address is 5400 Dolphin Ln, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568636199.
Healthcare Provider's Profile
| Full Name | Miss Teal Venice Garvin |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3126 Milton Rd Ste 233, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568636199
- Provider Enumeration Date: 04/15/2008
- Last Update Date: 03/17/2024
Medical Identifiers
Medical identifiers for Miss Teal Venice Garvin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568636199 | NPI | - | NPPES |
| 6112081 | Medicaid | NC | |
| SW1056 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9516 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1429 (North Carolina) | Secondary |
| 104100000X | Social Worker | 9764-CP (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9764-CP (South Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | 1429 (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | 9764-CP (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C006557 (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. Miss Teal Venice Garvin 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 |
|---|
Miss Teal Venice Garvin, LCSW, LCAS, CCS
5400 Dolphin Ln,
Charlotte, NC 28215-2208
Ph: (704) 806-5013 | Miss Teal Venice Garvin, LCSW, LCAS, CCS
3126 Milton Rd Ste 233,
Charlotte, NC 28215-3782
Ph: (704) 806-5013 |
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