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NPI Profile for LIFESOURCE OF NORTH CAROLINA in RICHMOND, VA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1114419124 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/05/2018 | |
| Last updated | 03/25/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LIFESOURCE OF NORTH CAROLINA
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| REBECCA M ELLEN, PA 7858 SHRADER RD RICHMOND, VA |
| MONIKA S SMITH, FNP-C 7401 BEAUFONT SPRINGS DRIVE RICHMOND, VA |
| PAUL D DUKARM, PhD 8730 STONY POINT PKWY RICHMOND, VA |
| SHAWMIKA WRIGHT 1301 WHITEHEAD ROAD RICHMOND, VA |
LIFESOURCE OF NORTH CAROLINA