Individual provider · Type 1 NPI
Allen Mark Spivack, LICSW
Clinical Social Worker · Roxbury, MA
Practice location
55 Dimock St, Room 309
Roxbury, MA 02119-1029
Fax (617) 427-1126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1029802 (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 1417240706
Allen Mark Spivack, LICSW's National Provider Identifier is 1417240706, issued on May 19, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roxbury, MA. The record was last updated on May 19, 2011.