Basic Information
| Provider Information | |||||||||
| NPI: | 1629185939 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EPSTEIN | ||||||||
| FirstName: | JEAN | ||||||||
| MiddleName: | NM | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | L.C.S.W., B.C.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 327 1ST AVE NW | ||||||||
| Address2: | |||||||||
| City: | HICKORY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286016122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286955900 | ||||||||
| FaxNumber: | 8286954256 | ||||||||
| Practice Location | |||||||||
| Address1: | 327 1ST AVE NW | ||||||||
| Address2: | |||||||||
| City: | HICKORY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286016122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286955900 | ||||||||
| FaxNumber: | 8286954256 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2006 | ||||||||
| LastUpdateDate: | 04/01/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | C004413 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | TAXID# | 01 | NC | TRI-CARE | OTHER | 2301268 | 01 | NC | CIGNA | OTHER | 6003243 | 05 | NC | MEDICAID | NPI# | 01 | NC | DIRECT NET | OTHER | NPI# | 01 | ND | WESTERN HIGHLANDS NETWORK | OTHER | NPI# | 01 | NC | LIFESYNCH | OTHER | NPI# | 01 | NC | PARTNERS BEHAVIORAL HEALTH MANAGEMENT | OTHER | NPI# | 01 | NC | CENTERPOINT HUMAN SERVICES | OTHER | 142CW | 01 | NC | BCBS | OTHER | NPI# | 01 | NC | SMOKY MOUNTAIN CENTER | OTHER | NPI# | 01 | NC | CAROLINA BEHAVIORAL HEALTH ALLIANCE | OTHER | TAXID# | 01 | NC | EVERCARE | OTHER | TAXID# | 01 | NC | WELLPATH | OTHER | 184361 | 01 | NC | MEDCOST | OTHER | 797670-000 | 01 | NC | MAGELLAN | OTHER | TAXID# | 01 | NC | PACIFICARE | OTHER | NPI# | 01 | NC | UNITED BEHAVIORAL HEALTHCARE | OTHER |