Individual provider · Type 1 NPI

Mrna Tracy Dibble, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1376695791 Active

Practice location

601 E 5th St, Suite 400
Charlotte, NC 28202-3031

Fax (704) 373-1604

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC002127 (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 1376695791

Mrna Tracy Dibble, LCSW's National Provider Identifier is 1376695791, issued on Jan 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 8, 2007.