Individual provider · NPI-1

Emily Abernathy, MSW, LCSWA

Social Worker, Clinical · Charlotte, NC

NPI number1407304074
StatusActive
Last updated in NPPESJul 7, 2021

Details

NPI
1407304074
Entity type
Individual (NPI-1)
Name
Emily Abernathy
Credential
MSW, LCSWA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 13, 2016
Certification date
Jul 7, 2021
Last updated
Jul 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalC013786NCYes
104100000X Social Worker––

Practice location

9332 Tibble Creek Way
Charlotte, NC 28227

Phone 980-216-6540

Mailing address

9332 Tibble Creek Way
Charlotte, NC 28227-6674

Phone 980-216-6540

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