Individual provider · Type 1 NPI

Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC

Clinical Social Worker · South Hamilton, MA

NPI number 1124336920 Active

Practice location

380 Highland St
South Hamilton, MA 01982-1310

Other practice locations

  • 1825 4th St, San Francisco, CA 94143-2350 · (415) 353-7982

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X81865 (CA)
Music Therapist 225A00000X09139 (PA)
Clinical Social Worker Primary 1041C0700X121357 (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 1124336920

Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC's National Provider Identifier is 1124336920, issued on Sep 15, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Hamilton, MA. The record was last updated on May 28, 2021.