Individual provider · Type 1 NPI

Mallory Gray Lane, LCSW-A

Clinical Social Worker · Raleigh, NC

NPI number 1609582113 Active

Practice location

5000 Falls Of Neuse Rd Ste 300
Raleigh, NC 27609-5480

Call (919) 865-8710 Map

Fax (919) 784-9184

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP017703 (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 1609582113

Mallory Gray Lane, LCSW-A's National Provider Identifier is 1609582113, issued on Jan 27, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jan 27, 2023.