Individual provider · Type 1 NPI
Nicole Rose Distefano
Clinical Social Worker · Marblehead, MA
Practice location
15 Hines Ct Unit 19
Marblehead, MA 01945-2582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 127642 (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 1194556985
Nicole Rose Distefano's National Provider Identifier is 1194556985, issued on Aug 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marblehead, MA. The record was last updated on Jul 24, 2025.