Individual provider · Type 1 NPI

Eliza Jacob-Dolan, LICSW

Clinical Social Worker · Jamaica Plain, MA

NPI number 1295945236 Active

Practice location

31 Heath St
Jamaica Plain, MA 02130-1650

Fax (617) 523-3034

Mailing address

64 Eldredge St
Newton, MA 02458-2017

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2024704 (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 1295945236

Eliza Jacob-Dolan, LICSW's National Provider Identifier is 1295945236, issued on May 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica Plain, MA. The record was last updated on Aug 30, 2011.