Provider Demographics
NPI:1518127455
Name:MCKOY, APRIL DANIELLE (P-LCSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:DANIELLE
Last Name:MCKOY
Suffix:
Gender:F
Credentials:P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 NORTH FIRST ST,
Mailing Address - Street 2:SUIT G
Mailing Address - City:PINETOPS
Mailing Address - State:NC
Mailing Address - Zip Code:27864-8028
Mailing Address - Country:US
Mailing Address - Phone:336-508-2789
Mailing Address - Fax:
Practice Address - Street 1:108 W FIRE TOWER RD
Practice Address - Street 2:SUIT H
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-8371
Practice Address - Country:US
Practice Address - Phone:252-321-8488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0040471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical