Individual
ANGELA DUNCAN TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
791 JONESTOWN RD, WINSTON SALEM, NC 27103-1252
(336) 716-4551
(336) 716-9642
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130P1
BCBS
—
01
—
2873206A
MEDICARE
NC
05
—
6002776
—
NC
01
—
800013764
RR MEDICARE
—
01
—
98887
MEDCOST
—
Enumeration date
12/07/2005
Last updated
09/28/2023
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