Individual provider · Type 1 NPI

Mark Jacob Longsjo, LICSW

Clinical Social Worker · Brockton, MA

NPI number 1013949809 Active

Practice location

Mclean Hospital Southeast Location, 940 Belmont Street
Brockton, MA 02301

Call (508) 894-8320 Map

Fax (508) 894-8334

Mailing address

115 Mill St
Belmont, MA 02478-1041

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1026908 (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 1013949809

Mark Jacob Longsjo, LICSW's National Provider Identifier is 1013949809, issued on Jul 6, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Jul 8, 2007.