Organization · Type 2 NPI

Kintsugi Counseling Professional Limited Liability Company

Clinical Social Worker · Charlotte, NC

NPI number 1679114102 Active

Practice location

322 Lamar Ave Ste 209
Charlotte, NC 28204-2436

Mailing address

1403 Eastcrest Dr Apt 202
Charlotte, NC 28205-8277

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1679114102

Kintsugi Counseling Professional Limited Liability Company's National Provider Identifier is 1679114102, issued on Oct 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 7, 2019.