Individual provider · Type 1 NPI

Susan R. Shore, MSW LICSW BCD

Clinical Social Worker · Eastham, MA

NPI number 1114084787 Active

Practice location

130A Old Orchard Rd
Eastham, MA 02642-2102

Fax (508) 255-9313

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMA111248 (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 1114084787

Susan R. Shore, MSW LICSW BCD's National Provider Identifier is 1114084787, issued on Jan 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eastham, MA. The record was last updated on Oct 7, 2015.