Individual provider · Type 1 NPI

Charlene D. Irvin

Clinical Social Worker · Southport, NC

NPI number 1992070122 Active

Practice location

4006 Norseman Loop, Unit 2
Southport, NC 28461-8234

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC007450 (NC)
Clinical Social Worker 1041C0700XCW014331 (PA)

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 1992070122

Charlene D. Irvin's National Provider Identifier is 1992070122, issued on Mar 21, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southport, NC. The record was last updated on Mar 21, 2012.