Individual provider · Type 1 NPI

John M. Douglas

Clinical Social Worker · Somerville, MA

NPI number 1346378031 Active

Practice location

366 Somerville Ave
Somerville, MA 02143-2919

Mailing address

16 Boyd St
Watertown, MA 02472-2538

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1346378031

John M. Douglas's National Provider Identifier is 1346378031, issued on Mar 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Somerville, MA. The record was last updated on Jul 8, 2007.