Individual provider · Type 1 NPI

Carmellia Thomas Bumgardner, LCSW

Clinical Social Worker · Mount Airy, NC

NPI number 1770633679 Active

Practice location

351 Riverside Dr
Mount Airy, NC 27030-3850

Fax (336) 786-6312

Mailing address

284 Executive Park Drive, Ste 100
Concord, NC 28025-1833

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC004066 (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 1770633679

Carmellia Thomas Bumgardner, LCSW's National Provider Identifier is 1770633679, issued on Jan 11, 2007. 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 May 26, 2017.