Individual provider · Type 1 NPI

Shannon Bienkowski

Clinical Social Worker · Charlotte, NC

NPI number 1770020109 Active

Practice location

5700 Executive Center Dr Ste 110
Charlotte, NC 28212-8833

Mailing address

350 Pee Dee Ave, Suite 101
Albemarle, NC 28001

Other practice locations

  • 45 S Main St, West Hartford, CT 06107-2441 · (860) 869-0599

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X009435 (CT)
Clinical Social Worker Primary 1041C0700XC010742 (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 1770020109

Shannon Bienkowski's National Provider Identifier is 1770020109, issued on Jan 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 17, 2018.