Individual provider · Type 1 NPI

Ipsita Bose, LCSWA

Clinical Social Worker · Chapel Hill, NC

NPI number 1336084169 Active

Practice location

600 Homestead Rd
Chapel Hill, NC 27516-8789

Mailing address

6409 Fayetteville Rd Ste 120
Durham, NC 27713-6297

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP022697 (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 1336084169

Ipsita Bose, LCSWA's National Provider Identifier is 1336084169, issued on Apr 20, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chapel Hill, NC. The record was last updated on Apr 20, 2026.