Individual provider · Type 1 NPI
Diana Wydo, LCSW
Clinical Social Worker · Raleigh, NC
Practice location
4112 Blue Ridge Road, 2nd Floor
Raleigh, NC 27612-4652
Fax (919) 573-6557
Mailing address
25 Blackstone Valley Place, Suite 300 Fellowship Health Resources Inc
Lincoln, RI 02865-1163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C005621 (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 1619146305
Diana Wydo, LCSW's National Provider Identifier is 1619146305, issued on Feb 27, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Feb 27, 2008.