Organization · Type 2 NPI

Wayside Youth & Family Support Network

Clinical Social Worker · Malden, MA

NPI number 1104977131 Active

Practice location

22 Pleasant St, 2205
Malden, MA 02148-5119

Fax (781) 338-2217

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X104386 (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 1104977131

Wayside Youth & Family Support Network's National Provider Identifier is 1104977131, issued on Jan 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Malden, MA. The record was last updated on Aug 22, 2020.