Provider Demographics
NPI:1902813421
Name:GARROT, WILLIAM N (LCSW, LPC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:N
Last Name:GARROT
Suffix:
Gender:M
Credentials:LCSW, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PEE DEE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-4932
Mailing Address - Country:US
Mailing Address - Phone:704-230-7525
Mailing Address - Fax:704-986-1505
Practice Address - Street 1:201 N EUGENE ST
Practice Address - Street 2:MONARCH
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2221
Practice Address - Country:US
Practice Address - Phone:336-676-6894
Practice Address - Fax:336-676-6490
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3535101YM0800X
NCC0011381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003575Medicaid
NC2864648BMedicare PIN