Individual provider · Type 1 NPI

Kebori Leigh Gorham, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1093395949 Active

Practice location

5804 Monroe Rd Ste C
Charlotte, NC 28212-6183

Fax (980) 598-8019

Mailing address

PO Box 620701
Charlotte, NC 28262-0111

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1093395949

Kebori Leigh Gorham, LCSWA's National Provider Identifier is 1093395949, issued on Apr 13, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Apr 13, 2021.