Individual provider · Type 1 NPI

Stepfon Teonta Portlock, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1396085577 Active

Practice location

6710 Pattonsburg Dr
Charlotte, NC 28213-2152

Fax (704) 594-9915

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC008189 (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 1396085577

Stepfon Teonta Portlock, LCSW's National Provider Identifier is 1396085577, issued on Feb 25, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 25, 2016.