Individual provider · Type 1 NPI

Courtney Haynes Petty, LCSWA

Clinical Social Worker · Lincolnton, NC

NPI number 1659056174 Active

Practice location

301 Jeb Seagle Dr
Lincolnton, NC 28092-2168

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPO18662 (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 1659056174

Courtney Haynes Petty, LCSWA's National Provider Identifier is 1659056174, issued on Jun 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lincolnton, NC. The record was last updated on Dec 28, 2023.