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THERAPIST WILMINGTON NPI 1497000319


NPI Information

NPI: 1497000319
Provider Name: THERAPIST WILMINGTON
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
9404 VOYAGERS WAY
WILMINGTON, NC
ZIP 28412
Phone: (910) 795-6677
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THERAPIST WILMINGTON is a clinical social worker in Wilmington, NC. The provider is 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. THERAPIST WILMINGTON NPI is 1497000319. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9404 VOYAGERS WAY
WILMINGTON, NC
ZIP 28412-442
Phone: (910) 795-6677

The provider's authorized official is Jon Christopher Hall .
The authorized official title is Owner/operator and has the following contact phone number (910) 795-6677.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorC005936NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)C005936NORTH CAROLINANo
3101YM0800XCounselorMental HealthC005936NORTH CAROLINANo
4102L00000XPsychoanalystC005936NORTH CAROLINANo
5103K00000XBehavior AnalystC005936NORTH CAROLINANo
6104100000XSocial WorkerC005936NORTH CAROLINANo
71041S0200XSocial WorkerSchoolC005936NORTH CAROLINANo
8106H00000XMarriage & Family TherapistC005936NORTH CAROLINANo
91041C0700XSocial WorkerClinicalC005936NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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