Individual provider · Type 1 NPI

Marcelino Rufino Vicente Jr., LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1164947289 Active

Practice location

6304 Kenwood Ave Ste 2A
Baltimore, MD 21237-2085

Fax (410) 687-7702

Mailing address

2806 Halcyon Ave
Baltimore, MD 21214-2535

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13642 (MD)

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 1164947289

Marcelino Rufino Vicente Jr., LCSW-C's National Provider Identifier is 1164947289, issued on Aug 9, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Aug 9, 2017.