Individual provider · Type 1 NPI

Jessica Shah

Clinical Social Worker · Durham, NC

NPI number 1386520591 Active

Practice location

18 W Colony Pl Ste 280
Durham, NC 27705-5582

Mailing address

1532 Lake Louise Ln
Fuquay Varina, NC 27526-4468

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP022789 (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 1386520591

Jessica Shah's National Provider Identifier is 1386520591, issued on Aug 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on Aug 13, 2025.