| Mary Easton Lcsw Pllc | |
|
7 Corporate Center Ct Ste B Greensboro NC 27408-3839 | |
| (336) 900-7269 | |
| Not Available |
| Full Name | Mary Easton Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 7 Corporate Center Ct Ste B, Greensboro, North Carolina |
| Authorized Official Name and Position | Mary Easton (OWNER) |
| Authorized Official Contact | 3369007269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Easton Lcsw Pllc 113 W Keeling Rd Greensboro NC 27410-5515 Ph: (336) 202-1768 | Mary Easton Lcsw Pllc 7 Corporate Center Ct Ste B Greensboro NC 27408-3839 Ph: (336) 900-7269 |
| NPI Number | 1154082352 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Medicare PECOS PAC ID | 8628461241 |
|---|---|
| Medicare Enrollment ID | O20220203000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154082352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Elizabeth Easton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710466677 PECOS PAC ID: 6507117025 Enrollment ID: I20180922000230 |
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