Ms Laura Ida Anthony, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. Her current practice location is
10130 Mallard Creek Road, Ste 300 #333, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 994-3511.
Ms Laura Ida Anthony is licensed to practice in North Carolina (license number C013404) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114404506.
Healthcare Provider's Profile
| Full Name | Ms Laura Ida Anthony |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 10130 Mallard Creek Road, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114404506
- Provider Enumeration Date: 07/27/2018
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587084371
- Enrollment ID: I20201016000527
Medical Identifiers
Medical identifiers for Ms Laura Ida Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114404506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | SW22193 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | C013404 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW22193 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | C013404 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Laura Ida Anthony is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Laura Ida Anthony, LCSW
10130 Mallard Creek Rd Ste 300,
Charlotte, NC 28262-6001
Ph: (704) 944-3511 | Ms Laura Ida Anthony, LCSW
10130 Mallard Creek Road, Ste 300 #333,
Charlotte, NC 28262
Ph: (704) 994-3511 |
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