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Provider Information for 1104955293


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Ms. CHIMERE DANIELLE NEAL LCSW


Sex: Female

NPI: 1104955293
Last Updated: 2022-09-01
Certification Date: 2022-09-01

Details

NameValue
NPI1104955293
Enumeration Date2007-03-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1923 J N PEASE PL STE 104
CHARLOTTE, NC 28262-4534
United States

Phone: 704-299-2288 | Fax:704-545-0333
 
Primary Practice Address 1923 J N PEASE PL STE 104
CHARLOTTE, NC 28262
United States

Phone: 704-299-2881 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - Clinical