Individual provider · Type 1 NPI

Miko Yvette Tillman Masterson, LCSW-C

Clinical Social Worker · Boyds, MD

NPI number 1295011658 Active

Practice location

21925 Frederick Rd
Boyds, MD 20841-9031

Fax (301) 774-3678

Mailing address

PO Box 339
Ashton, MD 20861-9781

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X17454 (MD)

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 1295011658

Miko Yvette Tillman Masterson, LCSW-C's National Provider Identifier is 1295011658, issued on Oct 31, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boyds, MD. The record was last updated on Oct 31, 2011.