Individual provider · Type 1 NPI

Virginia Derby Bustle, LCSW

Clinical Social Worker · Raleigh, NC

NPI number 1285905968 Active

Practice location

809 Spring Forest Rd Ste 1000
Raleigh, NC 27609-9147

Mailing address

3316 Huntleigh Dr
Raleigh, NC 27604-3312

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC002197 (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 1285905968

Virginia Derby Bustle, LCSW's National Provider Identifier is 1285905968, issued on Jan 26, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jan 26, 2012.