Laporta, Gretchen Marie

Laporta, Gretchen Marie is an individual health care provider with primary practice located at 1501 N Charlotte Ave # A239 , Monroe NC 28110-2525. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Laporta, Gretchen Marie can be contacted via phone (704) 283-2900.

Contact Information

Primary practice address
1501 N Charlotte Ave # A239 Monroe NC 28110-2525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X COO4418 North Carolina

Profile Details

NPI number 1629057823
LBN Legal business name Laporta, Gretchen Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Apr 10th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629057823 NPPES
North Carolina MEDICAID 6005126

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