Individual provider · Type 1 NPI
Eric Pegnam, LICSW
Clinical Social Worker · Boston, MA
Practice location
77B Warren St
Boston, MA 02135-3601
Fax (617) 254-3461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 111234 (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 1053595389
Eric Pegnam, LICSW's National Provider Identifier is 1053595389, issued on Dec 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Dec 21, 2007.