Individual provider · Type 1 NPI

Trakecha Marrow South, MSW

Clinical Social Worker · Henderson, NC

NPI number 1417814153 Active

Practice location

943 W Andrews Ave # K1
Henderson, NC 27536-2516

Mailing address

3630 White House Rd
Nelson, VA 24580-3922

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1417814153

Trakecha Marrow South, MSW's National Provider Identifier is 1417814153, issued on Jan 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Henderson, NC. The record was last updated on Jan 6, 2026.