Individual provider · Type 1 NPI

Jessica Kissane

Clinical Social Worker · Frederick, MD

NPI number 1306144050 Active

Practice location

7300 Marcies Choice Ln
Frederick, MD 21704-8369

Mailing address

261 Dill Ave
Frederick, MD 21701-4937

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16766 (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 1306144050

Jessica Kissane's National Provider Identifier is 1306144050, issued on Mar 4, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Frederick, MD. The record was last updated on Mar 4, 2011.