Individual provider · Type 1 NPI

Jephte Fanor

Clinical Social Worker · Dorchester, MA

NPI number 1033328893 Active

Practice location

317 Blue Hill Ave
Dorchester, MA 02121-4302

Call (617) 427-4470 Map

Mailing address

66 Collins Ave
Randolph, MA 02368-2048

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1033328893

Jephte Fanor's National Provider Identifier is 1033328893, issued on May 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dorchester, MA. The record was last updated on Jul 8, 2007.