Individual provider · Type 1 NPI

Marion Lynn Wachtenheim, M.S.W.

Clinical Social Worker · Providence, RI

NPI number 1073636874 Active

Practice location

172 E Cushing St
Providence, RI 02906-2255

Mailing address

38 Paris St
Pawtucket, RI 02860-6129

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW00678 (RI)

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 1073636874

Marion Lynn Wachtenheim, M.S.W.'s National Provider Identifier is 1073636874, issued on Apr 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Jul 10, 2010.