Individual provider · Type 1 NPI

Maryellen Daly, LICSW

Clinical Social Worker · Brockton, MA

NPI number 1225189657 Active

Practice location

209 Quincy St
Brockton, MA 02302-2926

Call (508) 942-2143 Map

Fax (508) 897-2075

Mailing address

165 Quincy St
Brockton, MA 02302-2988

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X106945 (MA)
Clinical Social Worker 1041C0700XISW00223 (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 1225189657

Maryellen Daly, LICSW's National Provider Identifier is 1225189657, issued on Jan 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Jul 13, 2016.