Individual provider · Type 1 NPI

Mallory Jo Spence, MSW, LCASA, LCSWA

Clinical Social Worker · Wilmington, NC

NPI number 1386253797 Active

Practice location

3825 Market St Ste 4
Wilmington, NC 28403-1426

Fax (910) 777-5273

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-25514 (NC)
Clinical Social Worker Primary 1041C0700XP014258 (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 1386253797

Mallory Jo Spence, MSW, LCASA, LCSWA's National Provider Identifier is 1386253797, issued on Jul 31, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Apr 14, 2022.