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Mary Maiio Bolgan
Clinical Social Worker in Wilmington, North Carolina
NPI 1699484410

Mary Maiio Bolgan is a Clinical Social Worker based in Wilmington, NC and is specialized in Clinical. Mary Maiio Bolgan practices in Wilmington, NC. The NPI Number for Mary Maiio Bolgan is 1699484410 and holds a License No. LCAS-28380 (North Carolina).

The current practice location address for Mary Maiio Bolgan is 5027 Wrightsville Ave, Wilmington, NC and can be reached out via phone at 910-520-1258.

Location: 5027 Wrightsville Ave, Wilmington, NC, 28403-1450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699484410
Provider Name
Mary Maiio Bolgan
Credential
Provider Entity Type
Individual
Gender
Female
Address
5027 Wrightsville Ave, Wilmington, NC, 28403-1450
Phone Number
910-520-1258
Fax Number
Provider Enumeration Date
11/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P018195 01 NC LCSW-A
institution
Provider Business Practice Location Address Details
Address
5027 Wrightsville Ave
City
Wilmington
State
North Carolina
Zip
28403-7046
Phone Number
910-520-1258
Fax Number
person
Provider Business Mailing Address Details
Address
5027 Wrightsville Ave
City
Wilmington
State
North Carolina
Zip
28403-7046
Phone Number
910-520-1258
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
P018195 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LCAS-28380 (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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