Individual provider · Type 1 NPI
Mark Jeffery Brenner, PhD, LICSW
Clinical Social Worker · Canton, MA
Practice location
1 Nathaniel Way
Canton, MA 02021-3852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 104840 (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 1386797355
Mark Jeffery Brenner, PhD, LICSW's National Provider Identifier is 1386797355, issued on Jan 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canton, MA. The record was last updated on Jul 8, 2007.