Organization · Type 2 NPI
Annette Provencher LCSW LLC
Clinical Social Worker · Middletown, NJ
Practice location
24 Chapman Ter
Middletown, NJ 07748-1563
Mailing address
39 Avenue At The Cmn, Suite 106
Shrewsbury, NJ 07702-4807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 44SC04823100 (NJ) |
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 1225579162
Annette Provencher LCSW LLC's National Provider Identifier is 1225579162, issued on Mar 11, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middletown, NJ. The record was last updated on Mar 11, 2017.