Provider Demographics
NPI:1376621656
Name:VICKI C. STEED, LCSW
Entity Type:Organization
Organization Name:VICKI C. STEED, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:COPELAND
Authorized Official - Last Name:STEED
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-475-0852
Mailing Address - Street 1:109 PINEYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-3434
Mailing Address - Country:US
Mailing Address - Phone:336-475-0852
Mailing Address - Fax:336-475-0445
Practice Address - Street 1:109 PINEYWOOD ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-3434
Practice Address - Country:US
Practice Address - Phone:336-475-0852
Practice Address - Fax:336-475-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC000583101YM0800X
NCLPC#760101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC79531OtherBCBS
NC2861292BMedicare ID - Type Unspecified