Individual provider · Type 1 NPI

Shannon A. Perez, MSW, LCSW, LCAS-A

Clinical Social Worker · Southport, NC

NPI number 1083232631 Active

Practice location

8128 River Rd SE
Southport, NC 28461-8972

Call (910) 367-5036 Map

Fax (910) 477-9030

Mailing address

70 High Point Rd
Southport, NC 28461-9757

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	25841 (NC)
Clinical Social Worker	1041C0700X	P013774 (NC)
Clinical Social Worker Primary	1041C0700X	C014152 (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 1083232631

Shannon A. Perez, MSW, LCSW, LCAS-A's National Provider Identifier is 1083232631, issued on Jul 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southport, NC. The record was last updated on Aug 17, 2023.