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Provider Information for 1073806451


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Ms. JANET DENISE MINTON MSW, LCSWA


Sex: Female

NPI: 1073806451
Last Updated: 2019-10-16
Certification Date:

Details

NameValue
NPI1073806451
Enumeration Date2011-05-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611-9000
United States

Phone: 803-898-4870 | Fax:803-898-0123
 
Primary Practice Address 4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611-9000
United States

Phone: 828-754-2409 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NCC012583NC Board of Social Work
Other (non-Medicare)NCP01167NC Board of Social Work
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalNCP011167
Yes 1041C0700X - Social Worker - ClinicalNCC012583