Individual provider · Type 1 NPI

Cumi Talitha Jolly, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1245630128 Active

Practice location

3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179

Fax (704) 316-8118

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 · (800) 718-3550
  • 1400 Willow Ln, North Wilkesboro, NC 28659-3551 · (336) 667-5151

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC008689 (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 1245630128

Cumi Talitha Jolly, LCSW's National Provider Identifier is 1245630128, issued on Aug 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Nov 28, 2023.