Individual provider · Type 1 NPI

Ian R. C. Witherby, LCSW

Clinical Social Worker · Rockland, ME

NPI number 1093329294 Active

Practice location

12 Union St
Rockland, ME 04841-2739

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	123046 (MA)
Clinical Social Worker	1041C0700X	MC17118 (ME)
Clinical Social Worker Primary	1041C0700X	LC19443 (ME)

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 1093329294

Ian R. C. Witherby, LCSW's National Provider Identifier is 1093329294, issued on Sep 4, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockland, ME. The record was last updated on Dec 7, 2020.