Organization · Type 2 NPI

Innovative Therapy and Consulting, Inc

Clinical Social Worker · Wake Forest, NC

NPI number 1083812481 Active

Practice location

833 Wake Forest Business Park, Suite G
Wake Forest, NC 27587-7184

Call (919) 554-1231 Map

Fax (919) 554-2406

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X5457 (NC)
Clinical Social Worker Primary 1041C0700XC004553 (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 1083812481

Innovative Therapy and Consulting, Inc's National Provider Identifier is 1083812481, issued on Jul 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wake Forest, NC. The record was last updated on Sep 11, 2025.