Pendleton, Carlson Mccoy

Pendleton, Carlson Mccoy is an individual health care provider with primary practice located at 100 Emancipation Dr , Hampton VA 23667-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Pendleton, Carlson Mccoy can be contacted via phone (757) 722-9961.

Contact Information

Primary practice address
100 Emancipation Dr Hampton VA 23667-0001
Phone: (757) 722-9961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904001601 Virginia

Profile Details

NPI number 1053375899
LBN Legal business name Pendleton, Carlson Mccoy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers