Individual provider · Type 1 NPI

Kathleen Marie Tise, LCSW

Clinical Social Worker · Durham, NC

NPI number 1831361427 Active

Practice location

411 W Chapel Hill St
Durham, NC 27701-3616

Call (919) 419-3474 Map

Fax (919) 419-9353

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC003806 (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 1831361427

Kathleen Marie Tise, LCSW's National Provider Identifier is 1831361427, issued on Mar 24, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on Jul 1, 2009.