Organization · Type 2 NPI
Life Tide Therapy, LLC
Clinical Social Worker · Charlestown, MA
Practice location
54 High St
Charlestown, MA 02129-3377
Other practice locations
- 13 Bowdoin St, Boston, MA 02114-4246 · (857) 302-4902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1114513967
Life Tide Therapy, LLC's National Provider Identifier is 1114513967, issued on Dec 16, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlestown, MA. The record was last updated on Dec 16, 2020.