Individual provider · Type 1 NPI
Kyle Kozelka, LICSW
Clinical Social Worker · Boston, MA
Practice location
Northeastern University, 360 Huntington Avenue, 135 Forsyth Bldg, Uhcs
Boston, MA 02215-5400
Mailing address
Uhcs, Northeastern University, 360 Huntington Ave, 135 Forsyth Building
Boston, MA 02115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 120650 (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 1124544754
Kyle Kozelka, LICSW's National Provider Identifier is 1124544754, issued on Aug 15, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Dec 11, 2019.