Individual provider · Type 1 NPI
Ivelisse Vazquez, MSW, LCSW
Clinical Social Worker · Roxbury, MA
Practice location
55 Dimock St, Room 266A
Roxbury, MA 02119-1029
Fax (617) 541-8472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 211222 (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 1033446562
Ivelisse Vazquez, MSW, LCSW's National Provider Identifier is 1033446562, issued on Nov 4, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roxbury, MA. The record was last updated on Nov 4, 2009.