Individual provider · Type 1 NPI

Matthew Telliferald Miles, LCSW-A

Clinical Social Worker · Lumberton, NC

NPI number 1104488402 Active

Practice location

2409 N Elm St
Lumberton, NC 28358-3658

Call (910) 802-4365 Map

Mailing address

15081 Highway 130 E
Fairmont, NC 28340-5553

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	P013435 (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 1104488402

Matthew Telliferald Miles, LCSW-A's National Provider Identifier is 1104488402, issued on Jul 8, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lumberton, NC. The record was last updated on Jul 8, 2019.