Individual provider · Type 1 NPI

Sugar Moon

Clinical Social Worker · Springfield, MA

NPI number 1396016325 Active

Practice location

15 Lenox St
Springfield, MA 01108-2666

Fax (413) 737-0323

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 1396016325

Sugar Moon's National Provider Identifier is 1396016325, issued on Jan 23, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, MA. The record was last updated on Jan 23, 2012.