Individual provider · Type 1 NPI

Kent C. Trader, MSW, PLCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1912096181 Active

Practice location

711 Executive Pl, 214
Fayetteville, NC 28305-5193

Mailing address

3154 Stephenson Rd
Angier, NC 27501-8165

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP003587 (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 1912096181

Kent C. Trader, MSW, PLCSW's National Provider Identifier is 1912096181, issued on Oct 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 8, 2007.