Individual provider · Type 1 NPI

Mary Ann Dattilo Boyd, LICSW

Clinical Social Worker · Middlebury, VT

NPI number 1104903319 Active

Practice location

135 S Pleasant St
Middlebury, VT 05753-1479

Call (802) 349-6182 Map

Mailing address

459 Lower Notch Rd
Bristol, VT 05443-5210

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0890001058 (VT)

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 1104903319

Mary Ann Dattilo Boyd, LICSW's National Provider Identifier is 1104903319, issued on Nov 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middlebury, VT. The record was last updated on Jul 8, 2007.