Individual provider · Type 1 NPI
Susan M. Medyn, LICSW
Clinical Social Worker · Westport, MA
Practice location
866 Main Rd
Westport, MA 02790-4311
Fax (508) 636-0601
Mailing address
90 North Ct
Tiverton, RI 02878-4724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1018349 (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 1225054976
Susan M. Medyn, LICSW's National Provider Identifier is 1225054976, issued on Jul 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westport, MA. The record was last updated on Feb 28, 2014.