Individual provider · Type 1 NPI

Phouangboupha Sinouanthavysouk

Clinical Social Worker · Lexington, NC

NPI number 1083450001 Active

Practice location

1303 Greensboro Street Ext
Lexington, NC 27295-1924

Call (336) 249-0237 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP020870 (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 1083450001

Phouangboupha Sinouanthavysouk's National Provider Identifier is 1083450001, issued on Jul 9, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lexington, NC. The record was last updated on Jul 9, 2024.