Provider Demographics
NPI:1699805739
Name:AVERY COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity type:Organization
Organization Name:AVERY COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:BENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-733-8230
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-0309
Mailing Address - Country:US
Mailing Address - Phone:828-733-8230
Mailing Address - Fax:828-733-8245
Practice Address - Street 1:175 LINVILLE ST.
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657
Practice Address - Country:US
Practice Address - Phone:828-733-8230
Practice Address - Fax:828-733-8245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700068Medicaid