Organization · Type 2 NPI

Lifesource of North Carolina

Clinical Social Worker · Pikeville, KY

NPI number 1538728183 Active

Practice location

200 Nursing Home Ln
Pikeville, KY 41501-6896

Fax (888) 746-1787

Mailing address

PO Box 538622
Atlanta, GA 30353-8622

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Psychiatry Physician 2084P0800XNone listed
Nurse Practitioner 363L00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone 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 1538728183

Lifesource of North Carolina's National Provider Identifier is 1538728183, issued on Jun 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pikeville, KY. The record was last updated on Mar 25, 2021.