Organization · Type 2 NPI

Therapist Wilmington

Clinical Social Worker · Wilmington, NC

NPI number 1497000319 Active

Practice location

9404 Voyagers Way
Wilmington, NC 28412-3442

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XC005936 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400XC005936 (NC)
Mental Health Counselor 101YM0800XC005936 (NC)
Psychoanalyst 102L00000XC005936 (NC)
Behavior Analyst 103K00000XC005936 (NC)
Social Worker 104100000XC005936 (NC)
Clinical Social Worker Primary 1041C0700XC005936 (NC)
School Social Worker 1041S0200XC005936 (NC)
Marriage & Family Therapist 106H00000XC005936 (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 1497000319

Therapist Wilmington's National Provider Identifier is 1497000319, issued on Jul 17, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Jul 17, 2012.