Individual provider · Type 1 NPI

Amanda Desjardin, LICSW

Clinical Social Worker · Worcester, MA

NPI number 1225416712 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Call (774) 442-5551 Map

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X125449 (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 1225416712

Amanda Desjardin, LICSW's National Provider Identifier is 1225416712, issued on May 15, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Jan 5, 2023.