Individual provider · Type 1 NPI

Suzanne Mactaggart Medlin, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1215228390 Active

Practice location

3541 Randolph Rd, Suite 206
Charlotte, NC 28211-1082

Call (704) 381-8336 Map

Fax (704) 381-8332

Mailing address

PO Box 601372
Charlotte, NC 28260-1372

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC006559 (NC)
Community/Behavioral Health Agency 251S00000XC006559 (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 1215228390

Suzanne Mactaggart Medlin, LCSW's National Provider Identifier is 1215228390, issued on Apr 25, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jun 12, 2012.