TERESIA MEDLEY-HOOD MSW LCSW NPI 1730330689

NPI Information

NPI: 1730330689
Provider Name: TERESIA MEDLEY-HOOD, MSW, LCSW
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

PECOS Registration: Yes

Address:
3137 AMITY CT
SUITE 400
CHARLOTTE, NC
ZIP 28215
Phone: (704) 536-7326
Get Directions

Teresia Medley-hood, MSW, LCSW is a home health registered nurse in Charlotte, NC. Teresia Medley-hood, MSW, LCSW NPI is 1730330689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3137 AMITY CT
SUITE 400
CHARLOTTE, NC
ZIP 28215-935
Phone: (704) 536-7326
Fax: (704) 536-7147

The NPI 1730330689 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/8/2008 and was last updated on 2/14/2019.

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			No
2	1041C0700X	Social Worker	Clinical			No
3	1041C0700X	Social Worker	Clinical	C011490	NORTH CAROLINA	No
4	163WH0200X	Registered Nurse	Home Health	2222222	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000000	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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