Individual provider · Type 1 NPI

Minnie Simmons Vickers, MSW, LCSWA

Clinical Social Worker · Wake Forest, NC

NPI number 1023897980 Active

Practice location

2000 S Main St
Wake Forest, NC 27587-9335

Mailing address

1125 Reservoir View Ln
Wake Forest, NC 27587-3025

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP019317 (NC)

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 1023897980

Minnie Simmons Vickers, MSW, LCSWA's National Provider Identifier is 1023897980, issued on Sep 28, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wake Forest, NC. The record was last updated on Sep 28, 2023.