Individual provider · Type 1 NPI

Ebony Maltida Grayson

Clinical Social Worker · Charlotte, NC

NPI number 1124947791 Active

Practice location

1958 Garibaldi Ave
Charlotte, NC 28208-5047

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023711 (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 1124947791

Ebony Maltida Grayson's National Provider Identifier is 1124947791, issued on Jul 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2026.