Organization · Type 2 NPI

Authentic Change Psychotherapy, Inc.

Clinical Social Worker · Providence, RI

NPI number 1144971342 Active

Practice location

154 Waterman St., Suite 15, 3rd Floor
Providence, RI 02906

Call (401) 489-6885 Map

Mailing address

133 Glenwood Ave
Pawtucket, RI 02860-5905

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1144971342

Authentic Change Psychotherapy, Inc.'s National Provider Identifier is 1144971342, issued on Jan 10, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Jan 23, 2022.