Individual provider · Type 1 NPI

Mary Pogue, LCSW

Clinical Social Worker · Nutley, NJ

NPI number 1376540526 Active

Practice location

85 Brookline Ave
Nutley, NJ 07110-2965

Fax (973) 667-9169

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	44SC00305200 (NJ)

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 1376540526

Mary Pogue, LCSW's National Provider Identifier is 1376540526, issued on Jul 2, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nutley, NJ. The record was last updated on Jul 8, 2007.