Individual provider · Type 1 NPI

Michelle Vidal, LICSW

Clinical Social Worker · Medford, MA

NPI number 1124362389 Active

Practice location

170 Governors Ave, Lawrence Memorial Hospital
Medford, MA 02155-1643

Call (781) 306-6008 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X114943 (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 1124362389

Michelle Vidal, LICSW's National Provider Identifier is 1124362389, issued on Nov 12, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, MA. The record was last updated on Nov 12, 2012.