Organization · Type 2 NPI

Southlake Center for Self Discovery

Clinical Social Worker · Davidson, NC

NPI number 1366656910 Active

Practice location

903 Northeast Dr Ste 201
Davidson, NC 28036-7438

Call (704) 896-7776 Map

Fax (704) 896-0992

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 1366656910

Southlake Center for Self Discovery's National Provider Identifier is 1366656910, issued on May 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davidson, NC. The record was last updated on Jun 23, 2009.