Individual provider · Type 1 NPI
Elisabeth Rose Portnow, LICSW
Clinical Social Worker · Boston, MA
Practice location
82 Marlborough Street
Boston, MA 02115
Fax (617) 730-9335
Mailing address
85 Commonwealth Avenue
Chestnut Hill, MA 02467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1025648 (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 1417092685
Elisabeth Rose Portnow, LICSW's National Provider Identifier is 1417092685, issued on Feb 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.