Individual provider · Type 1 NPI

Kelly Marie Wasson, LCSW

Clinical Social Worker · Winston Salem, NC

NPI number 1063921161 Active

Practice location

2101 Peters Creek Pkwy Ste 16-19
Winston Salem, NC 27127-3726

Call (336) 955-1379 Map

Fax (704) 939-1173

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC012739 (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 1063921161

Kelly Marie Wasson, LCSW's National Provider Identifier is 1063921161, issued on Sep 21, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 23, 2021.