Individual provider · Type 1 NPI

Jason Bennett Lake, LCSW

Clinical Social Worker · Raleigh, NC

NPI number 1922304948 Active

Practice location

1100 Logger Ct, G-103
Raleigh, NC 27609-8525

Call (919) 538-5511 Map

Mailing address

1100 Logger Ct Ste G103
Raleigh, NC 27609-8512

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC006990 (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 1922304948

Jason Bennett Lake, LCSW's National Provider Identifier is 1922304948, issued on Feb 9, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Feb 17, 2014.