Individual provider · Type 1 NPI

Jacqueline M. Tisdale, MA

Clinical Social Worker · Fall River, MA

NPI number 1174764955 Active

Practice location

178 Pine St
Fall River, MA 02720-2312

Mailing address

1 Tupperware Dr
North Smithfield, RI 02896-6815

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 1174764955

Jacqueline M. Tisdale, MA's National Provider Identifier is 1174764955, issued on Mar 9, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fall River, MA. The record was last updated on Mar 9, 2009.