Individual provider · Type 1 NPI

Jon D. Weddell, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1154048130 Active

Practice location

5108 Reagan Dr Ste 14
Charlotte, NC 28206-1395

Call (704) 332-8787 Map

Fax (704) 332-8788

Mailing address

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP017404 (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 1154048130

Jon D. Weddell, LCSWA's National Provider Identifier is 1154048130, issued on Oct 20, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 20, 2022.