Individual provider · Type 1 NPI

Andrew Avault, LCSW

Clinical Social Worker · Boston, MA

NPI number 1033620562 Active

Practice location

105 Chauncy St Ste 602
Boston, MA 02111-1726

Fax (617) 467-0521

Mailing address

349 Broadway
Cambridge, MA 02139-1715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X220578 (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 1033620562

Andrew Avault, LCSW's National Provider Identifier is 1033620562, issued on Oct 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Oct 24, 2017.