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34D2151124 CLIA NUMBER - CAROLINA RESERVE OF DURHAM

Laboratory Demographics

CLIA Number: 34D2151124

Facility Name: CAROLINA RESERVE OF DURHAM

Facility Address:
4523 HOPE VALLEY ROAD
DURHAM, NC
ZIP 27707
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Facility Phone Number: 919 403-0055

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1518110139

Taxonomy: 1041C0700X - 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

CLIA Record

Field Name Field Value
CLIA Number 34D2151124
LAB Type Assisted Living Facility
Facility Name CAROLINA RESERVE OF DURHAM
Street 4523 HOPE VALLEY ROAD
City DURHAM
State NC
ZIP 27707
Phone 919 403-0055
CertificateType 4
CertificateEffectiveDate 7/12/2022
CertificateExpirationDate 7/11/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024