Individual provider · Type 1 NPI

Chase Todd Bannister, MDIV MSW LCSW CEDS

Clinical Social Worker · Durham, NC

NPI number 1386805315 Active

Practice location

817 Broad St
Durham, NC 27705-4137

Call (202) 670-5125 Map

Mailing address

2108 Stuart Dr
Durham, NC 27707-2262

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC006086 (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 1386805315

Chase Todd Bannister, MDIV MSW LCSW CEDS's National Provider Identifier is 1386805315, issued on Jun 23, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on Jul 21, 2022.