Individual provider · Type 1 NPI

Shavodka Love Nowacki, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1386298115 Active

Practice location

769 N Wendover Rd
Charlotte, NC 28211-1118

Call (704) 376-7180 Map

Fax (704) 531-9266

Mailing address

3518 Herman Sipe Rd NW
Conover, NC 28613-8903

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801116896 (MI)
Clinical Social Worker 1041C0700XC013820 (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 1386298115

Shavodka Love Nowacki, LCSW's National Provider Identifier is 1386298115, issued on Jul 30, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on May 6, 2025.