Individual provider · Type 1 NPI

Charon Dubose, LCSW

Clinical Social Worker · Hampton, VA

NPI number 1003132135 Active

Practice location

2244 Executive Dr
Hampton, VA 23666-2430

Mailing address

211 Larissa Dr
Newport News, VA 23601-1426

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904007288 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003132135

Charon Dubose, LCSW's National Provider Identifier is 1003132135, issued on Apr 14, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampton, VA. The record was last updated on Apr 14, 2010.