Individual provider · Type 1 NPI

Tashina Stout, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1083028518 Active

Practice location

2633 West Blvd
Charlotte, NC 28208-6705

Mailing address

101 Sedgewood Dr
Rock Hill, SC 29732-2315

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC009864 (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 1083028518

Tashina Stout, LCSW's National Provider Identifier is 1083028518, issued on Jun 12, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 12, 2024.