Individual provider · Type 1 NPI

Jessie Ray Staton, LCAS, LCSW

Clinical Social Worker · Ahoskie, NC

NPI number 1487956397 Active

Practice location

144 Community College Rd, Suite B
Ahoskie, NC 27910-8047

Call (252) 209-8932 Map

Fax (252) 332-2483

Mailing address

4300-110 Sapphire Ct, Port Human Services
Greenville, NC 27834

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1727 (NC)
Clinical Social Worker Primary 1041C0700XC007929 (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 1487956397

Jessie Ray Staton, LCAS, LCSW's National Provider Identifier is 1487956397, issued on Nov 29, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ahoskie, NC. The record was last updated on Sep 29, 2016.