Individual provider · Type 1 NPI

Kelly Fitzwater, MSW, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1629355169 Active

Practice location

4601 Park Rd, Suite 400
Charlotte, NC 28209-3239

Call (704) 344-0491 Map

Fax (704) 344-0493

Mailing address

7820 Chelsea Jade Ln, Apt 617
Charlotte, NC 28269-3533

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC007365 (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 1629355169

Kelly Fitzwater, MSW, LCSW's National Provider Identifier is 1629355169, issued on Nov 11, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Nov 11, 2011.