Individual provider · Type 1 NPI

Tiara Madore, LICSW

Clinical Social Worker · Mansfield, MA

NPI number 1255848396 Active

Practice location

41 West St
Mansfield, MA 02048-2403

Mailing address

144 Main St
Brockton, MA 02301-4046

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1255848396

Tiara Madore, LICSW's National Provider Identifier is 1255848396, issued on Jan 10, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mansfield, MA. The record was last updated on May 23, 2025.