Individual provider · Type 1 NPI

Kevin Richard Donnelly, MSW, LCSW

Clinical Social Worker · Winston Salem, NC

NPI number 1780989004 Active

Practice location

4035 University Pkwy, Suite 101
Winston Salem, NC 27106-3276

Mailing address

3919 Avera Ave
Winston Salem, NC 27106-1601

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC007123 (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 1780989004

Kevin Richard Donnelly, MSW, LCSW's National Provider Identifier is 1780989004, issued on Jan 18, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 18, 2011.