Individual provider · Type 1 NPI
Glynis Wikstrom Fullwood, LCSW
Clinical Social Worker · Chapel Hill, NC
Practice location
104 S Estes Dr Ste 301G
Chapel Hill, NC 27514-2848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C004458 (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…
Another provider at this address
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About NPI 1902467350
Glynis Wikstrom Fullwood, LCSW's National Provider Identifier is 1902467350, issued on Jun 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chapel Hill, NC. The record was last updated on Jun 26, 2019.