Individual provider · Type 1 NPI

Charmetri Averious Wrice-Bulluck, MSW P-LCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1629358098 Active

Practice location

2905 Breezewood Ave, Suite 104
Fayetteville, NC 28303-5503

Mailing address

3512 Lionel Ln
Fayetteville, NC 28311-2092

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP006741 (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 1629358098

Charmetri Averious Wrice-Bulluck, MSW P-LCSW's National Provider Identifier is 1629358098, issued on Aug 17, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 17, 2011.