Organization · Type 2 NPI

Above the Tides Counseling LLC

Clinical Social Worker · Fayetteville, NC

NPI number 1417853458 Active

Practice location

3898 Clinton Rd
Fayetteville, NC 28312-9207

Mailing address

PO Box 30
Stedman, NC 28391-0030

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 1417853458

Above the Tides Counseling LLC's National Provider Identifier is 1417853458, issued on Oct 16, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 16, 2026.