Mrs Katy L Tolliver, LCSW is a
Social Worker - Clinical based in Winston Salem, North Carolina. Mrs Katy L Tolliver is licensed to practice in North Carolina (license number C006081) and her current practice location is
1200 South Broad Street, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 722-8173.
NPI number for Mrs Katy L Tolliver is 1063674885 and her current mailing address is 1200 South Broad Street, Winston Salem, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063674885.
Healthcare Provider's Profile
| Full Name | Mrs Katy L Tolliver |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1200 South Broad Street, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063674885
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 07/02/2008
Medical Identifiers
Medical identifiers for Mrs Katy L Tolliver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063674885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C006081 (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. Mrs Katy L Tolliver 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 |
|---|
Mrs Katy L Tolliver, LCSW
1200 South Broad Street,
Winston Salem, NC 27101
Ph: (336) 722-8173 | Mrs Katy L Tolliver, LCSW
1200 South Broad Street,
Winston Salem, NC 27101
Ph: (336) 722-8173 |
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