Individual provider · Type 1 NPI

Lavonti Broughton

Clinical Social Worker · Charleston, SC

NPI number 1104661750 Active

Practice location

109 Bee St
Charleston, SC 29401-5703

Mailing address

8240 Windsor Hill Blvd Apt 13205
North Charleston, SC 29420-8394

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 1104661750

Lavonti Broughton's National Provider Identifier is 1104661750, issued on Jun 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, SC. The record was last updated on Jun 26, 2024.