Individual provider · Type 1 NPI

Ida Leary Rodgers, LCSW

Clinical Social Worker · Elizabeth City, NC

NPI number 1194933069 Active

Practice location

1221 Carolina Ave Ste 8
Elizabeth City, NC 27909-5407

Fax (252) 331-2849

Mailing address

505 Terry St
Elizabeth City, NC 27909-9745

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCOO5653 (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 1194933069

Ida Leary Rodgers, LCSW's National Provider Identifier is 1194933069, issued on May 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabeth City, NC. The record was last updated on Jul 8, 2007.