Individual provider · Type 1 NPI

Shannon Kostuck, MSW, LCSW-A

Clinical Social Worker · Winston Salem, NC

NPI number 1568892016 Active

Practice location

2101 Peters Creek Pkwy, Suite 20-22
Winston Salem, NC 27127-3726

Fax (336) 761-5319

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP007907 (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 1568892016

Shannon Kostuck, MSW, LCSW-A's National Provider Identifier is 1568892016, issued on Nov 20, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 20, 2013.