Individual provider · Type 1 NPI

Kennedy Ervin

Clinical Social Worker · Wilmington, NC

NPI number 1801427364 Active

Practice location

725 Wellington Ave
Wilmington, NC 28401-7652

Call (910) 392-4881 Map

Fax (910) 392-9559

Mailing address

8390 Six Forks Rd Ste 201
Raleigh, NC 27615-3060

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP014103 (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 1801427364

Kennedy Ervin's National Provider Identifier is 1801427364, issued on Feb 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Feb 3, 2020.