Individual provider · Type 1 NPI

De'voncia Lachel Mickins

Clinical Social Worker · Lake Waccamaw, NC

NPI number 1992383103 Active

Practice location

104 E Old US 74/76
Lake Waccamaw, NC 28450-1927

Mailing address

855 Old Homestead Rd
Kinston, NC 28504-6854

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP015383 (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 1992383103

De'voncia Lachel Mickins's National Provider Identifier is 1992383103, issued on Mar 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Waccamaw, NC. The record was last updated on Mar 30, 2021.