Individual provider · Type 1 NPI

Carolyn Tyrease Long-Bane, LCSW

Clinical Social Worker · Wake Forest, NC

NPI number 1215028741 Active

Practice location

1906 S Main St Ste 120
Wake Forest, NC 27587-5033

Call (919) 562-1080 Map

Fax (919) 570-3243

Mailing address

2601 Dyking Rd
Kittrell, NC 27544-8912

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0904001830 (VA)
Clinical Social Worker Primary 1041C0700XC004810 (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 1215028741

Carolyn Tyrease Long-Bane, LCSW's National Provider Identifier is 1215028741, issued on Sep 28, 2006. 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 Oct 23, 2018.