Individual provider · Type 1 NPI

Bonnie Yezukevich, LICSW

Clinical Social Worker · West Roxbury, MA

NPI number 1407331176 Active

Practice location

1920 Centre St
West Roxbury, MA 02132-2513

Mailing address

117 N Worcester St
Norton, MA 02766-2046

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X115337 (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 1407331176

Bonnie Yezukevich, LICSW's National Provider Identifier is 1407331176, issued on Sep 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Roxbury, MA. The record was last updated on Sep 28, 2018.