Individual provider · Type 1 NPI

Mitzi Bunch Jordan, LCSWA

Clinical Social Worker · Elizabeth City, NC

NPI number 1043740806 Active

Practice location

1141 N Road St Ste L
Elizabeth City, NC 27909-3354

Call (252) 335-0803 Map

Fax (252) 413-0932

Mailing address

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP011385 (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 1043740806

Mitzi Bunch Jordan, LCSWA's National Provider Identifier is 1043740806, issued on Jun 14, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabeth City, NC. The record was last updated on Jun 14, 2017.