Individual provider · Type 1 NPI

Marjorie Provost Goldbaum, LICSW LADC

Clinical Social Worker · Chelmsford, MA

NPI number 1407869704 Active

Practice location

201 Chelmsford St
Chelmsford, MA 01824-2359

Call (978) 256-1467 Map

Fax (978) 256-7465

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X110711 (MA)
Addiction (Substance Use Disorder) Counselor 101YA0400X1530 (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 1407869704

Marjorie Provost Goldbaum, LICSW LADC's National Provider Identifier is 1407869704, issued on Aug 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chelmsford, MA. The record was last updated on Feb 2, 2016.