Individual provider · Type 1 NPI

Jacqueline Bango, LICSW

Clinical Social Worker · Boston, MA

NPI number 1003329095 Active

Practice location

55 Fruit Street, Founders Building Suite 880
Boston, MA 02114

Call (617) 643-8281 Map

Mailing address

35 N Margin St Apt 2
Boston, MA 02113-1638

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X120046 (MA)
Clinical Social Worker Primary 1041C0700X120046 (MA)

Clinical Social Worker: 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 interpers…

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About NPI 1003329095

Jacqueline Bango, LICSW's National Provider Identifier is 1003329095, issued on Nov 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Nov 13, 2017.