Organization · Type 2 NPI

Bradley Kornegay, Lcsw, Lcas, PLLC

Clinical Social Worker · Greenville, NC

NPI number 1225422686 Active

Practice location

925D Conference Dr
Greenville, NC 27858-5971

Fax (252) 689-2996

Mailing address

PO Box 2899
Greenville, NC 27836-0899

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-2786 (NC)
Clinical Social Worker Primary 1041C0700XC009346 (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 1225422686

Bradley Kornegay, Lcsw, Lcas, PLLC's National Provider Identifier is 1225422686, issued on Mar 24, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, NC. The record was last updated on Mar 24, 2015.