Individual provider · Type 1 NPI

Ellen M. Sandoval, LICSW, EDM

Clinical Social Worker · Boston, MA

NPI number 1083106801 Active

Practice location

53 Parker Hill Ave
Boston, MA 02120-3225

Call (617) 278-4251 Map

Mailing address

182 Kittredge St Apt A
Boston, MA 02131-4114

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X117846 (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 1083106801

Ellen M. Sandoval, LICSW, EDM's National Provider Identifier is 1083106801, issued on Jun 6, 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 Jun 6, 2018.