Organization · Type 2 NPI
Michelle Dattada, Lcsw, PLLC
Clinical Social Worker · Wake Forest, NC
Practice location
992 Durham Rd Ste A
Wake Forest, NC 27587-6590
Mailing address
1404 Lagerfeld Way
Wake Forest, NC 27587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C007061 (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 1134488836
Michelle Dattada, Lcsw, PLLC's National Provider Identifier is 1134488836, issued on May 15, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wake Forest, NC. The record was last updated on May 15, 2012.