Individual provider · Type 1 NPI

Carolina Ivonne Feris, LICSW

Clinical Social Worker · Burlington, MA

NPI number 1013397801 Active

Practice location

67 S Bedford St
Burlington, MA 01803-5108

Mailing address

Lahey Provider Enrollment, 41 Mall Road
Burlington, MA 01805-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X121685 (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 1013397801

Carolina Ivonne Feris, LICSW's National Provider Identifier is 1013397801, issued on Jun 5, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burlington, MA. The record was last updated on Aug 20, 2019.