Individual provider · Type 1 NPI
Mandy W. Gravitte, LCSW, LCAS-A
Clinical Social Worker · Mount Airy, NC
Practice location
140 Franklin St
Mount Airy, NC 27030-4502
Fax (336) 755-2086
Mailing address
701 S Main St
Dobson, NC 27017-8593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C006569 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2324-A (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 1730415894
Mandy W. Gravitte, LCSW, LCAS-A's National Provider Identifier is 1730415894, issued on Oct 26, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Airy, NC. The record was last updated on Nov 13, 2012.