Individual provider · Type 1 NPI
Pamela M. Waggoner, LICSW LADCI
Clinical Social Worker · Georgetown, MA
Practice location
65 Central St.
Georgetown, MA 01833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 105036 (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 1336255207
Pamela M. Waggoner, LICSW LADCI's National Provider Identifier is 1336255207, issued on Aug 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Georgetown, MA. The record was last updated on Jul 8, 2007.