Individual provider · Type 1 NPI

Charmaile Pennie, LCSWA

Clinical Social Worker · Fayetteville, NC

NPI number 1740716844 Active

Practice location

705 Cumberland St
Fayetteville, NC 28301-7020

Mailing address

1128 Anthem Ln Unit 9101
Fayetteville, NC 28311-0043

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-25843 (NC)
Clinical Social Worker 1041C0700XP011284 (NC)
Clinical Social Worker Primary 1041C0700XP015678 (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 1740716844

Charmaile Pennie, LCSWA's National Provider Identifier is 1740716844, issued on May 10, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Mar 25, 2021.