Organization · Type 2 NPI

Legacy Counseling & Consulting Group, PLLC

Clinical Social Worker · Fayetteville, NC

NPI number 1730406935 Active

Practice location

351 Wagoner Dr, Suite 310
Fayetteville, NC 28303-4608

Fax (866) 462-1782

Mailing address

PO Box 25238
Fayetteville, NC 28314-5003

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X9295 (SC)
Professional Counselor 101YP2500XC005793 (NC)
Clinical Social Worker Primary 1041C0700XC005793 (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 1730406935

Legacy Counseling & Consulting Group, PLLC's National Provider Identifier is 1730406935, issued on Apr 27, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 26, 2016.