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Mrs. Suzanne Mactaggart Medlin, LCSW
Community/Behavioral Health Agency in Charlotte, North Carolina
NPI 1215228390

Suzanne Mactaggart Medlin is a Community/Behavioral Health Agency based in Charlotte, NC. Suzanne Mactaggart Medlin practices in Charlotte, NC and has the professional credentials of LCSW. The NPI Number for Suzanne Mactaggart Medlin is 1215228390 and holds a License No. C006559 (North Carolina).

The current practice location address for Suzanne Mactaggart Medlin is 3541 Randolph Rd, Charlotte, NC and can be reached out via phone at 704-381-8336 and via fax at 704-381-8332.

Location: 3541 Randolph Rd, Charlotte, NC, 28260-1372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215228390
Provider Name
Suzanne Mactaggart Medlin
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3541 Randolph Rd, Charlotte, NC, 28260-1372
Phone Number
704-381-8336
Fax Number
704-381-8332
Provider Enumeration Date
04/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6009037 05 NC
institution
Provider Business Practice Location Address Details
Address
3541 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28211-1082
Phone Number
704-381-8336
Fax Number
704-381-8332
person
Provider Business Mailing Address Details
Address
3541 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28211-1082
Phone Number
704-381-8336
Fax Number
704-381-8332
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C006559 (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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
C006559 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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