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34D2155770 CLIA NUMBER - HILLSBOROUGH COMMUNITY URGENT CARE DBA INDYCARE HILLSBOROUGH

Laboratory Demographics

CLIA Number: 34D2155770

Facility Name: HILLSBOROUGH COMMUNITY URGENT CARE DBA INDYCARE HILLSBOROUGH

Facility Address:
110 BOONE SQUARE STREET, SUITE 29A
HILLSBOROUGH, NC
ZIP 27278
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Facility Phone Number: 919 245-1213

Facility Type: Other - URGENT CARE

Certificate Type: Waiver
NPI Number: 1689852360

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 34D2155770
LAB Type Other - URGENT CARE
Facility Name HILLSBOROUGH COMMUNITY URGENT CARE DBA INDYCARE HILLSBOROUGH
Street 110 BOONE SQUARE STREET, SUITE 29A
City HILLSBOROUGH
State NC
ZIP 27278
Phone 919 245-1213
CertificateType 4
CertificateEffectiveDate 10/4/2022
CertificateExpirationDate 10/3/2024
FacilityType Waiver

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