Individual provider · Type 1 NPI

Amanda Proctor, LICSW

Clinical Social Worker · Boston, MA

NPI number 1063908804 Active

Practice location

105 Chauncy St Ste 302
Boston, MA 02111-1771

Mailing address

232 Mystic St
Arlington, MA 02474-1102

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X119906 (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 1063908804

Amanda Proctor, LICSW's National Provider Identifier is 1063908804, issued on Jul 5, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jul 5, 2018.