Individual provider · Type 1 NPI
Samwise Wynnsome Fowler, MSW, LCSWA
Clinical Social Worker · Kernersville, NC
Practice location
950 Graves St
Kernersville, NC 27284-3262
Mailing address
4221 Edith Ln Apt A
Greensboro, NC 27409-2898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | P024279 (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 1700793916
Samwise Wynnsome Fowler, MSW, LCSWA's National Provider Identifier is 1700793916, issued on Aug 25, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kernersville, NC. The record was last updated on Aug 25, 2026.