Individual provider · Type 1 NPI
Jennifer Shore, LICSW
Clinical Social Worker · Marblehead, MA
Practice location
6 Intervale Rd
Marblehead, MA 01945-1514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 120661 (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 1104499326
Jennifer Shore, LICSW's National Provider Identifier is 1104499326, issued on Jul 24, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marblehead, MA. The record was last updated on Jul 24, 2021.