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Millicent Johnson Shadden, LCSW
Clinical Social Worker in Winston Salem, North Carolina
NPI 1336167576

Millicent Johnson Shadden is a Clinical Social Worker based in Charlotte, NC and is specialized in Clinical. Millicent Johnson Shadden practices in Winston Salem, NC and has the professional credentials of LCSW. The NPI Number for Millicent Johnson Shadden is 1336167576 and holds a License No. C001902 (North Carolina).

The current practice location address for Millicent Johnson Shadden is 175 Kimel Park Dr Ste 100, Winston Salem, NC and can be reached out via phone at 336-718-3550 and via fax at 336-277-6981.

Location: 175 Kimel Park Dr Ste 100, Winston Salem, NC, 28275-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336167576
Provider Name
Millicent Johnson Shadden
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
175 Kimel Park Dr Ste 100, Winston Salem, NC, 28275-1803
Phone Number
336-718-3550
Fax Number
336-277-6981
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6106234 05 NC
institution
Provider Business Practice Location Address Details
Address
175 Kimel Park Dr Ste 100
City
Winston Salem
State
North Carolina
Zip
27103-6951
Phone Number
336-718-3550
Fax Number
336-277-6981
person
Provider Business Mailing Address Details
Address
175 Kimel Park Dr Ste 100
City
Winston Salem
State
North Carolina
Zip
27103-6951
Phone Number
336-718-3550
Fax Number
336-277-6981
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C001902 (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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