Individual provider · Type 1 NPI

Rebecca Genevieve Mirick, LICSW

Clinical Social Worker · Wakefield, MA

NPI number 1295894210 Active

Practice location

338 Main St, Suite 304
Wakefield, MA 01880-5013

Mailing address

103 North St
Stoneham, MA 02180-3921

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X112053 (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 1295894210

Rebecca Genevieve Mirick, LICSW's National Provider Identifier is 1295894210, issued on Dec 6, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wakefield, MA. The record was last updated on Jul 8, 2007.