| Thomas E. Mcdaniel, Lcsw Inc. | |
|
276 Old Mocksville Rd Suite 100 Statesville NC 28625-1949 | |
| (704) 929-8712 | |
| (704) 883-8661 |
| Full Name | Thomas E. Mcdaniel, Lcsw Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 276 Old Mocksville Rd, Statesville, North Carolina |
| Authorized Official Name and Position | Thomas Everett Mcdaniel (PRESIDENT OWNER) |
| Authorized Official Contact | 7049298712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E. Mcdaniel, Lcsw Inc. Po Box 2307 Morganton NC 28680-2307 Ph: (704) 929-8712 | Thomas E. Mcdaniel, Lcsw Inc. 276 Old Mocksville Rd Suite 100 Statesville NC 28625-1949 Ph: (704) 929-8712 |
| NPI Number | 1750333852 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750333852 | NPI | - | NPPES |
| 1952 | Other | CBHA | |
| 2047394 | Other | CIGNA BHAVIORAL HLTH | |
| 126C0 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 94892 | Other | MEDCOST | |
| 112075 | Other | UNITED BHAVIORAL HLTHCARE | |
| GRP 358961 PIN366949 | Other | MANAGE HLTH NETWORK | |
| 253003 | Other | COMPSYCH | |
| 358961 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C003601 (North Carolina) | Primary |
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