Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101YM0800X | Counselor | Mental Health | | NORTH CAROLINA | No |
| 2 | 101Y00000X | Counselor | | | | No |
| 3 | 101YP2500X | Counselor | Professional | | | No |
| 4 | 1041C0700X | Social Worker | Clinical | | | No |
| 5 | 1041C0700X | Social Worker | Clinical | 0904017103 | VIRGINIA | No |
| 6 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 7 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | No |
| 9 | 305S00000X | Point of Service | | | | No |
| 10 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 11 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 12 | 347C00000X | Private Vehicle | | | | No |
| 13 | 104100000X | Social Worker | | | | Yes |
