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Provider Information for 1609435817


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Mr. JOSHUA ADAMS PEELE MSW, LCSW


Sex: Male

NPI: 1609435817
Last Updated: 2021-08-02
Certification Date: 2021-08-02

Details

NameValue
NPI1609435817
Enumeration Date2019-06-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 10561 VIRGINIA PL
LAURINBURG, NC 28352-0470
United States

Phone: 910-280-4534 | Fax:
 
Primary Practice Address 322 S MAIN ST
LAURINBURG, NC 28352-3834
United States

Phone: 910-544-6937 | Fax:910-277-4314
 
Secondary Practice Address(es)

503 ROCKINGHAM RD
ROCKINGHAM, NC 28379-3615
United States

Phone: 910-417-4922 | Fax:910-417-4923
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 193200000X - Multi-Specialty Group
1041C0700X - Social Worker - Clinical
NCP013467
Yes 193200000X - Multi-Specialty Group
1041C0700X - Social Worker - Clinical
NCC013980