Provider Demographics
NPI:1952823429
Name:PRITCHARD, ADDIE SCHOONMAKER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ADDIE
Middle Name:SCHOONMAKER
Last Name:PRITCHARD
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 1:896 CRESS SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-9680
Mailing Address - Country:US
Mailing Address - Phone:704-701-9899
Mailing Address - Fax:
Practice Address - Street 1:217 BRANCHVIEW DR NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-3416
Practice Address - Country:US
Practice Address - Phone:704-701-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-16
Last Update Date:2017-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical