National Provider Identifier Database

LIFESOURCE OF NORTH CAROLINA
Clinical

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.


Contact Information

LIFESOURCE OF NORTH CAROLINA
505 ROBERT BLVD
SLIDELL, LA70458-1645
Phone: 910-742-9243
Fax: 888-746-1787
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X
Clinical 103TC0700X
Clinical Nurse Specialist 364S00000X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for LIFESOURCE OF NORTH CAROLINA

NPI Number 1497378848
Legal business name
LBN
LIFESOURCE OF NORTH CAROLINA
Authorized official PEGGY BADDOUR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/20/2020
Last updated 03/25/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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