Individual provider · Type 1 NPI

Susan Ellen Douglass, LICSW

Clinical Social Worker · Worcester, MA

NPI number 1275829558 Active

Practice location

72 Jaques Ave
Worcester, MA 01610-2476

Call (508) 860-1154 Map

Mailing address

45 Summer St
Leominster, MA 01453-3228

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X116372 (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 1275829558

Susan Ellen Douglass, LICSW's National Provider Identifier is 1275829558, issued on Jun 24, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Jun 24, 2011.