Individual provider · Type 1 NPI

Jillisa Spottiswood

Clinical Social Worker · Raleigh, NC

NPI number 1417806977 Active

Practice location

319 Chapanoke Rd Ste 120
Raleigh, NC 27603-3433

Call (657) 348-9160 Map

Mailing address

432 Moultonboro Ave
Wake Forest, NC 27587-5529

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023350 (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 1417806977

Jillisa Spottiswood's National Provider Identifier is 1417806977, issued on Jan 27, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jan 27, 2026.