Individual provider · Type 1 NPI

Edna Renee Blue, MSW, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1043774912 Active

Practice location

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001

Mailing address

2763 Waybrook Dr
Dallas, NC 28034-9598

Other practice locations

  • 280 Executive Park Dr, Concord, NC 28025-1837 · (704) 786-8220

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP011355 (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 1043774912

Edna Renee Blue, MSW, LCSWA's National Provider Identifier is 1043774912, issued on Jan 24, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on May 9, 2022.