Provider Demographics
NPI:1407917925
Name:BELL, ESSIE LOUISE (LCSW)
Entity Type:Individual
Prefix:
First Name:ESSIE
Middle Name:LOUISE
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3633 CITISIDE DR
Mailing Address - Street 2:APT 204
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-1568
Mailing Address - Country:US
Mailing Address - Phone:704-537-8748
Mailing Address - Fax:
Practice Address - Street 1:107 SCALEYBARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2608
Practice Address - Country:US
Practice Address - Phone:704-567-8690
Practice Address - Fax:866-691-8326
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0052461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical