<unavail> in Harrisburg, NC - Medicare Social Worker

is a medicare enrolled mental health clinic (Social Worker - Clinical) in Harrisburg, North Carolina. The current practice location for is 4350 Main St Ste 213, Harrisburg, North Carolina. For appointments, you can reach them via phone at (267) 253-3063. The mailing address for is 4350 Main St Ste 213, Harrisburg, North Carolina and phone number is (267) 253-3063.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932773033. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (267) 253-3063.

Contact Information


	4350 Main St Ste 213 Harrisburg NC 28075-7448
	(267) 253-3063
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Social Worker
Location	4350 Main St Ste 213, Harrisburg, North Carolina
Authorized Official Name and Position	Carolyn Souders (OWNER/PROVIDER)
Authorized Official Contact	2672533063
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4350 Main St Ste 213 Harrisburg NC 28075-7448 Ph: (267) 253-3063	4350 Main St Ste 213 Harrisburg NC 28075-7448 Ph: (267) 253-3063

NPI Details:

NPI Number	1932773033
Provider Enumeration Date	05/14/2021
Last Update Date	01/14/2025
Certification Date	01/14/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	2466846126
Medicare Enrollment ID	O20220223002856

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932773033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Carolyn A Souders
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1023365756 PECOS PAC ID: 4688937469 Enrollment ID: I20180409000658

Reviews and Comments

Social Worker in Harrisburg, NC

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- Medicare Mental Health Clinic in Harrisburg, NC