Organization · Type 2 NPI

Crown Legacy Supportive Servicesllc

Clinical Social Worker · Charlotte, NC

NPI number 1326435314 Active

Practice location

715 E 5th St, Suite 216
Charlotte, NC 28202-3001

Fax (704) 376-1931

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Early Intervention Provider Agency 252Y00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Private Vehicle 347C00000XNone listed
Respite Care 385H00000XNone listed

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 1326435314

Crown Legacy Supportive Servicesllc's National Provider Identifier is 1326435314, issued on Apr 17, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Apr 17, 2015.