| Alpine's Empowerment Agency | |
|
7014 Smith Corners Blvd # 1198 Charlotte NC 28269-3793 | |
| (314) 516-3718 | |
| (314) 648-2847 |
| Full Name | Alpine's Empowerment Agency |
|---|---|
| Speciality | Social Worker |
| Location | 7014 Smith Corners Blvd # 1198, Charlotte, North Carolina |
| Authorized Official Name and Position | Shawnee Palmer (OWNER/PRIMARY THERAPIST) |
| Authorized Official Contact | 3145163718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine's Empowerment Agency 7014 Smith Corners Blvd # 1198 Charlotte NC 28269-3793 Ph: (314) 516-3718 | Alpine's Empowerment Agency 7014 Smith Corners Blvd # 1198 Charlotte NC 28269-3793 Ph: (314) 516-3718 |
| NPI Number | 1164964813 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 7012270093 |
|---|---|
| Medicare Enrollment ID | O20180405000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164964813 | NPI | - | NPPES |
| 1164964813 | Medicaid | NC | |
| 500105643 | Medicaid | MO |
| Provider Name | Shawnee Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144672601 PECOS PAC ID: 4789947672 Enrollment ID: I20180405001608 |
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