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 | 1871135723 |
| LBN Legal business name | LIFESOURCE OF NORTH CAROLINA |
| Authorized official | PEGGY BADDOUR - (PRESIDENT/OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/11/2019 |
| Last updated | 03/26/2021 - About 5 years ago |
| Identifiers | n/a |
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