Individual provider · Type 1 NPI
Nicole Wallace Nogueira, LICSW
Clinical Social Worker · Cambridge, MA
Practice location
75 Mount Auburn St
Cambridge, MA 02138-4960
Mailing address
75 Mt Auburn St
Cambridge, MA 02138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 115445 (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 1417284696
Nicole Wallace Nogueira, LICSW's National Provider Identifier is 1417284696, issued on Nov 10, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cambridge, MA. The record was last updated on Dec 1, 2010.