| Mr Peter Lundblad, LCSW-A | |
|
139 E Trade St, Forest City, NC 28043-3149 | |
| (828) 287-7945 | |
| (828) 288-2770 |
| Full Name | Mr Peter Lundblad |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 139 E Trade St, Forest City, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437829124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P016667 (North Carolina) | Primary |
| Entity Name | Appalachian Counseling And Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700264058 PECOS PAC ID: 4880996792 Enrollment ID: O20160111000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter Lundblad, LCSW-A 5 Rhododendron Pl, Asheville, NC 28805-1130 Ph: (828) 719-5663 | Mr Peter Lundblad, LCSW-A 139 E Trade St, Forest City, NC 28043-3149 Ph: (828) 287-7945 |
Taylor Nicole Self, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 179 W Main St, Suite 132, Forest City, NC 28043 Phone: 828-248-4403 Fax: 704-487-4005 | |
Mrs. Debra H. Harrill, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 563 Old Caroleen Rd, Forest City, NC 28043 Phone: 828-248-1373 | |
Cragan Elizabeth Hardin, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 177 Fox Croft St, Forest City, NC 28043 Phone: 828-429-2520 | |
Madison Cantrell Watkins, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 840 Chase High Rd, Forest City, NC 28043 Phone: 704-874-9005 | |
Robert Stephen Cefalu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Withrow Rd, Forest City, NC 28043 Phone: 828-247-1700 | |
Ashely Ross, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 139 E Trade St, Forest City, NC 28043 Phone: 828-287-7945 |