Individual provider · Type 1 NPI

Jason Lee Radosevich, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1750792800 Active

Practice location

100 Billingsley Rd
Charlotte, NC 28211-1002

Mailing address

619 Sullivan Rd
Statesville, NC 28677-3437

Other practice locations

  • 414 W Lebanon St, Mount Airy, NC 27030-2954 · (336) 789-9492
  • 619 Sullivan Rd, Statesville, NC 28677-3437 · (704) 871-0934

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP008656 (NC)
Clinical Social Worker Primary 1041C0700XC011345 (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 1750792800

Jason Lee Radosevich, LCSW's National Provider Identifier is 1750792800, issued on May 12, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Nov 8, 2024.