Individual provider · Type 1 NPI

Ellen Fitzgerald-McCallum, LICSW

Clinical Social Worker · Johnston, RI

NPI number 1104149616 Active

Practice location

1443 Hartford Ave
Johnston, RI 02919-3224

Call (401) 273-8100 Map

Fax (401) 861-8696

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW02290 (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 1104149616

Ellen Fitzgerald-McCallum, LICSW's National Provider Identifier is 1104149616, issued on Mar 11, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnston, RI. The record was last updated on Feb 19, 2013.