Individual provider · Type 1 NPI

Mary Petrina Goodwin, LCSW, LCAS-A

Clinical Social Worker · Wilmington, NC

NPI number 1124415302 Active

Practice location

3825 Market St Ste 4
Wilmington, NC 28403-1426

Call (910) 777-5575 Map

Fax (910) 777-5273

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XC010557 (NC)
Clinical Social Worker Primary 1041C0700XC010557 (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 1124415302

Mary Petrina Goodwin, LCSW, LCAS-A's National Provider Identifier is 1124415302, issued on Apr 24, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on May 6, 2022.