Individual provider · Type 1 NPI

Krystal Penman Mangandi, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1417201989 Active

Practice location

5855 Executive Center Dr, Suite 111
Charlotte, NC 28212-8883

Call (704) 537-1202 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC008071 (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 1417201989

Krystal Penman Mangandi, LCSW's National Provider Identifier is 1417201989, issued on Nov 5, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 19, 2013.