Individual provider · Type 1 NPI

Jean Pauline Weller, MSW

Clinical Social Worker · Brockton, MA

NPI number 1174828735 Active

Practice location

1115 W Chestnut St
Brockton, MA 02301-7501

Mailing address

927 Bordallo Dr
Lexington, KY 40514-1071

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 1174828735

Jean Pauline Weller, MSW's National Provider Identifier is 1174828735, issued on Jan 12, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Jan 12, 2011.