Individual provider · Type 1 NPI

Ann Funicello, LICSW

Clinical Social Worker · Coventry, RI

NPI number 1205112422 Active

Practice location

54 Wood Cove Dr
Coventry, RI 02816-6606

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW0063 (RI)
School Social Worker 1041S0200X054450 (RI)

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 1205112422

Ann Funicello, LICSW's National Provider Identifier is 1205112422, issued on Nov 2, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coventry, RI. The record was last updated on Nov 2, 2011.