Organization · Type 2 NPI

Revitalize Counseling, PLLC

Clinical Social Worker · Realeigh, NC

NPI number 1700544350 Active

Practice location

431 Waterville Rd
Realeigh, NC 27603

Fax (919) 336-5134

Mailing address

1220 Timber Dr E # 1033
Garner, NC 27529-6917

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…

About NPI 1700544350

Revitalize Counseling, PLLC's National Provider Identifier is 1700544350, issued on Dec 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Realeigh, NC. The record was last updated on Dec 1, 2021.