Organization · Type 2 NPI
Legacy Counseling & Consulting Group, PLLC
Clinical Social Worker · Fayetteville, NC
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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 9295 (SC) |
| Professional Counselor | 101YP2500X | C005793 (NC) |
| Clinical Social Worker Primary | 1041C0700X | C005793 (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.