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Provider Information for 1730141490


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Ms. NANCY BIRCH HAUCK MSW


Sex: Female

NPI: 1730141490
Last Updated: 2025-01-06
Certification Date: 2025-01-06

Details

NameValue
NPI1730141490
Enumeration Date2006-04-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 712 TABERNA CIR
NEW BERN, NC 28562-8786
United States

Phone: 336-302-7569 | Fax:
 
Primary Practice Address 712 TABERNA CIR
NEW BERN, NC 28562-8786
United States

Phone: 336-302-7569 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NC197962social work
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalNCP003233
Yes 1041C0700X - Social Worker - ClinicalSC13023