Individual provider · Type 1 NPI

Anna C. Van Dis, LCSW

Clinical Social Worker · Durham, NC

NPI number 1336257526 Active

Practice location

402 Trent Drive
Durham, NC 27705

Fax (919) 668-4496

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	C004560 (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 1336257526

Anna C. Van Dis, LCSW's National Provider Identifier is 1336257526, issued on Aug 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on Jul 8, 2007.