| Laura Budd Ellington LCSW, Lisw-cp | |
|
112 N Trade St Tryon NC 28782-3080 | |
| (864) 918-9961 | |
| Not Available |
| Full Name | Laura Budd Ellington LCSW, Lisw-cp |
|---|---|
| Speciality | Social Worker |
| Location | 112 N Trade St, Tryon, North Carolina |
| Authorized Official Name and Position | Laura B Ellington (OWNER) |
| Authorized Official Contact | 8649189961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Budd Ellington LCSW, Lisw-cp Po Box 387 Tryon NC 28782-0387 Ph: (864) 918-9961 | Laura Budd Ellington LCSW, Lisw-cp 112 N Trade St Tryon NC 28782-3080 Ph: (864) 918-9961 |
| NPI Number | 1114894581 |
|---|---|
| Provider Enumeration Date | 10/21/2025 |
| Last Update Date | 01/19/2026 |
| Certification Date | 01/19/2026 |
| Medicare PECOS PAC ID | 3476034760 |
|---|---|
| Medicare Enrollment ID | O20260225001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114894581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Laura Budd Ellington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528193554 PECOS PAC ID: 5193840734 Enrollment ID: I20100920000269 |
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