Organization · Type 2 NPI

Create Mindful Moments, LLC

Clinical Social Worker · Rock Hill, SC

NPI number 1336013143 Active

Practice location

454 Anderson Rd S Ste 402C
Rock Hill, SC 29730-3398

Mailing address

16420 Hawfield Farms Rd Apt 1922
Charlotte, NC 28277-4248

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1336013143

Create Mindful Moments, LLC's National Provider Identifier is 1336013143, issued on Oct 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rock Hill, SC. The record was last updated on Oct 3, 2025.