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Contact Information

KATY L TOLLIVER, LCSW
1200 SOUTH BROAD STREET
WINSTON-SALEM, NC27101
 Phone: 336-722-8173
 Fax: 336-724-6491
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KATY L TOLLIVER · (Female)

NPI Number 1063674885
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/02/2008
Last updated 07/02/2008 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # C006081
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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