Individual provider · Type 1 NPI

Roger Suclupe, LCSW

Clinical Social Worker · Matthews, NC

NPI number 1700804747 Active

Practice location

6800 Saint Peters Lane, Thompson Child And Family Focus
Matthews, NC 28105-8458

Fax (704) 531-9266

Mailing address

6800 Saint Peters Ln
Matthews, NC 28105-8458

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC005151 (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 1700804747

Roger Suclupe, LCSW's National Provider Identifier is 1700804747, issued on Jul 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Matthews, NC. The record was last updated on Jul 17, 2012.