Individual provider · Type 1 NPI

Mary C. Shackelford, LCSW

Clinical Social Worker · Raleigh, NC

NPI number 1215110010 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Fax (919) 350-8509

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC005799 (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 1215110010

Mary C. Shackelford, LCSW's National Provider Identifier is 1215110010, issued on Dec 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Dec 14, 2007.