Individual provider · Type 1 NPI

Aishah Renee Whitehead, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1619468501 Active

Practice location

5200 Park Rd Ste 218B
Charlotte, NC 28209-3650

Call (866) 700-1606 Map

Fax (866) 338-5921

Mailing address

419 Tyler Trail Ct Apt 222
Charlotte, NC 28262-3393

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP011394 (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 1619468501

Aishah Renee Whitehead, LCSWA's National Provider Identifier is 1619468501, issued on May 25, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on May 25, 2018.