Individual provider · Type 1 NPI

Lee Avery Wilson, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1891564571 Active

Practice location

1021 Morehead Medical Dr Ste 5004
Charlotte, NC 28204-2990

Fax (980) 442-5131

Mailing address

1624 12th St NE
Hickory, NC 28601-2771

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC011958 (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 1891564571

Lee Avery Wilson, LCSW's National Provider Identifier is 1891564571, issued on Dec 22, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Dec 22, 2023.