Individual provider · Type 1 NPI

Charles White

Clinical Social Worker · Taylorsville, NC

NPI number 1003667924 Active

Practice location

395 3rd Ave SW
Taylorsville, NC 28681-4180

Call (099) 353-2922 Map

Mailing address

862 Brawley School Rd Ste 202
Mooresville, NC 28117-8154

Other practice locations

  • 862 Brawley School Rd Ste 202, Mooresville, NC 28117-8154 · (704) 659-4707

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP020412 (NC)
Clinical Social Worker Primary 1041C0700X150110766 (IL)

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 1003667924

Charles White's National Provider Identifier is 1003667924, issued on Mar 28, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taylorsville, NC. The record was last updated on Jun 22, 2026.