Individual provider · Type 1 NPI
Lydie Ultimo, LICSW
Clinical Social Worker · Fall River, MA
Practice location
722 N Main St
Fall River, MA 02720-3531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LICSW1140244 (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 1376312199
Lydie Ultimo, LICSW's National Provider Identifier is 1376312199, issued on Dec 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fall River, MA. The record was last updated on Aug 29, 2025.