| Emily Stainback Lcsw | |
|
4311 Chilton Way High Point NC 27265-9584 | |
| (335) 850-0535 | |
| Not Available |
| Full Name | Emily Stainback Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 4311 Chilton Way, High Point, North Carolina |
| Authorized Official Name and Position | Emily Stainback (OWNER) |
| Authorized Official Contact | 3358500535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Stainback Lcsw 4311 Chilton Way High Point NC 27265-9584 Ph: (335) 850-0535 | Emily Stainback Lcsw 4311 Chilton Way High Point NC 27265-9584 Ph: (335) 850-0535 |
| NPI Number | 1750155503 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 8527419498 |
|---|---|
| Medicare Enrollment ID | O20240105000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750155503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Emily Katherine Stainback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922182955 PECOS PAC ID: 3678671583 Enrollment ID: I20070530000593 |
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