Whalio Doctors

NPI 1003169202

Bethany Dare Southern Morris, LCSW

Practitioner Clinical Social Worker Greensboro, NC

Practice location

Address
510 N Elam Ave STE 301, Greensboro, NC 27403-1142
Phone
(336) 832-9800
Fax
(336) 832-1369
Mailing address
1200 N Elm St, Greensboro, NC 27401-1004

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C007285 (NC)
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence C007285 (NC)

Registry record

NPI
1003169202
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Oct 2012
Record last updated
13 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.