Individual provider · Type 1 NPI
Marigarace Licitra
Clinical Social Worker · Denver, NC
Practice location
5078 Silver Creek Ln
Denver, NC 28037-7948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | P022102 (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 1164315768
Marigarace Licitra's National Provider Identifier is 1164315768, issued on Jun 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Denver, NC. The record was last updated on Jun 2, 2025.