Individual provider · Type 1 NPI

Gavin Theofield, LCSW

Clinical Social Worker · Matthews, NC

NPI number 1043729965 Active

Practice location

855 Sam Newell Rd Ste 100
Matthews, NC 28105-7593

Mailing address

1561 Nunnelly Ln Apt 308
Fort Mill, SC 29708-0098

Other practice locations

  • 1561 Nunnelly Ln Apt 308, Fort Mill, SC 29708-0098 · (631) 704-2820

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW-5121 (HI)
Clinical Social Worker Primary 1041C0700XC017506 (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 1043729965

Gavin Theofield, LCSW's National Provider Identifier is 1043729965, issued on Sep 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Matthews, NC. The record was last updated on Sep 17, 2024.