Individual provider · Type 1 NPI

Jennifer Fine, LICSW

Clinical Social Worker · Brockton, MA

NPI number 1104863497 Active

Practice location

940 Belmont St, Building 5 Room C-117
Brockton, MA 02301-5596

Fax (774) 826-2571

Mailing address

1049 Bay Rd
Sharon, MA 02067-2402

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1022082 (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 1104863497

Jennifer Fine, LICSW's National Provider Identifier is 1104863497, issued on Jun 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Sep 9, 2015.