Organization · Type 2 NPI
Coastal Mind, PLLC
Clinical Social Worker · Charlotte, NC
Practice location
1235 East Blvd Ste E
Charlotte, NC 28203-5876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1679421879
Coastal Mind, PLLC's National Provider Identifier is 1679421879, issued on Mar 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Aug 25, 2026.