Individual provider · Type 1 NPI

Tyler Smith Buckhout, LICSW

Clinical Social Worker · Dorchester, MA

NPI number 1013455823 Active

Practice location

294 Bowdoin St
Dorchester, MA 02122-1814

Mailing address

14 Haynes St Unit 101
East Boston, MA 02128-4952

Other practice locations

  • 60 Man Mar Dr, Plainville, MA 02762-2270 · (781) 436-2025

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X127377 (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…

3 other providers at this address

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About NPI 1013455823

Tyler Smith Buckhout, LICSW's National Provider Identifier is 1013455823, issued on Feb 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dorchester, MA. The record was last updated on Dec 4, 2023.