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Organization
THOMAS E. MCDANIEL, LCSW INC.
Active
Organization
THOMAS E. MCDANIEL, LCSW INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EVERETT MCDANIEL LCSW (PRESIDENT OWNER)
(704) 929-8712
Entity
Organization
Contact information
Practice address
276 OLD MOCKSVILLE RD, SUITE 100, STATESVILLE, NC 28625-1949
(704) 929-8712
(704) 883-8661
Mailing address
PO BOX 2307, MORGANTON, NC 28680-2307
(704) 929-8712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003601
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112075
UNITED BHAVIORAL HLTHCARE
—
01
—
126C0
BLUE CROSS BLUE SHIELD NC
NC
01
—
1952
CBHA
—
01
—
2047394
CIGNA BHAVIORAL HLTH
—
01
—
253003
COMPSYCH
—
01
—
358961
TRICARE
—
01
—
94892
MEDCOST
—
01
—
GRP 358961 PIN366949
MANAGE HLTH NETWORK
—
Enumeration date
05/17/2006
Last updated
08/22/2020
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