Individual provider · Type 1 NPI

Kathryn Stacom, LICSW

Clinical Social Worker · Wellesley, MA

NPI number 1285080663 Active

Practice location

11 River St
Wellesley, MA 02481-2098

Call (781) 431-1177 Map

Fax (781) 431-1181

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X119391 (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 1285080663

Kathryn Stacom, LICSW's National Provider Identifier is 1285080663, issued on May 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wellesley, MA. The record was last updated on Dec 11, 2016.