Primary Source Group, Pllc is a Clinical Social Worker based in Raleigh, NC and is specialized in Clinical. Primary Source Group, Pllc practices in Raleigh, NC. The NPI Number for Primary Source Group, Pllc is 1104052901 and holds a License No. 1222 (North Carolina).
The current practice location address for Primary Source Group, Pllc is 4905 Green Rd, Raleigh, NC and can be reached out via phone at 919-981-7373 and via fax at 919-981-7373.
Location: 4905 Green Rd, Raleigh, NC, 27658-8098
Provider Profile Details
NPI Number
1104052901
Provider Name
Primary Source Group, Pllc
Credential
Provider Entity Type
Organization
Address
4905 Green Rd, Raleigh, NC, 27658-8098
Phone Number
919-981-7373
Fax Number
919-981-7373
Provider Enumeration Date
06/08/2009
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106329 | 05 | NC |
Provider Business Practice Location Address Details
Address
4905 Green Rd
City
State
Zip
27616-2805
Phone Number
919-981-7373
Fax Number
919-981-7373
Provider Business Mailing Address Details
Address
4905 Green Rd
City
State
Zip
27616-2805
Phone Number
919-981-7373
Fax Number
919-981-7373
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C003663 (North Carolina)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
865 (North Carolina)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Counseling
Taxonomy
License No.
1572 (North Carolina)
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
1222 (North Carolina)
Definition
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.
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