Individual provider · Type 1 NPI
Roscoe Gorham, LICSW, CADAC
Clinical Social Worker · Waltham, MA
Practice location
23 Reyem St
Waltham, MA 02453-5401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 111906 (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 1124208038
Roscoe Gorham, LICSW, CADAC's National Provider Identifier is 1124208038, issued on Nov 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waltham, MA. The record was last updated on Nov 7, 2007.