Longino, Laura Elizabeth

Longino, Laura Elizabeth is an individual health care provider with primary practice located at 318 Turnersburg Hwy , Statesville NC 28625-2798. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Longino, Laura Elizabeth can be contacted via phone (336) 406-1533.

Contact Information

Primary practice address
318 Turnersburg Hwy Statesville NC 28625-2798
Phone: (336) 406-1533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004654 North Carolina

Profile Details

NPI number 1578608337
LBN Legal business name Longino, Laura Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated May 1st, 2017 - about 8 years 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 1578608337 NPPES
North Carolina Other 6003623 PIN
North Carolina MEDICAID 6003623 PIN

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