Provider Demographics
NPI:1366126922
Name:CAROLINE A COTTO LCSW LCAS PLLC
Entity type:Organization
Organization Name:CAROLINE A COTTO LCSW LCAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW LCAS CCS
Authorized Official - Phone:252-917-2775
Mailing Address - Street 1:300 LEAHY MILL CT
Mailing Address - Street 2:
Mailing Address - City:WEDDINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28104-9745
Mailing Address - Country:US
Mailing Address - Phone:252-917-2775
Mailing Address - Fax:
Practice Address - Street 1:1312 MATTHEWS MINT HILL RD # 205
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4212
Practice Address - Country:US
Practice Address - Phone:252-917-2775
Practice Address - Fax:980-422-2775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty