Individual provider · Type 1 NPI

Jaclyn Mickiewicz, LICSW

Clinical Social Worker · Shelburne Falls, MA

NPI number 1295953461 Active

Practice location

26 Severance St
Shelburne Falls, MA 01370-1217

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XLICSW126010 (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 1295953461

Jaclyn Mickiewicz, LICSW's National Provider Identifier is 1295953461, issued on Apr 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shelburne Falls, MA. The record was last updated on Oct 30, 2024.