Individual provider · Type 1 NPI

Jesseyetta Lavetta Staton, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1811539786 Active

Practice location

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068

Call (888) 547-9905 Map

Mailing address

7110 Lowen Rd
Charlotte, NC 28269-0194

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP014185 (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 1811539786

Jesseyetta Lavetta Staton, LCSWA's National Provider Identifier is 1811539786, issued on Oct 11, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 11, 2019.