Individual provider · Type 1 NPI

Kristin Maddox Vandenbussche, LCSW-A

Clinical Social Worker · Greenville, NC

NPI number 1629400981 Active

Practice location

2245 Stantonsburg Rd, Ste O
Greenville, NC 27834-2868

Call (252) 752-0483 Map

Fax (252) 757-3172

Mailing address

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP008299 (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 1629400981

Kristin Maddox Vandenbussche, LCSW-A's National Provider Identifier is 1629400981, issued on Aug 8, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, NC. The record was last updated on Aug 8, 2013.