Organization · Type 2 NPI

Spark the Change, LLC

Clinical Social Worker · Norwell, MA

NPI number 1417672965 Active

Practice location

124 Washington St
Norwell, MA 02061-1731

Mailing address

PO Box 2064
Cotuit, MA 02635-2064

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Psychiatric/Mental Health Registered Nurse 163WP0808XNone listed

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 1417672965

Spark the Change, LLC's National Provider Identifier is 1417672965, issued on Oct 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norwell, MA. The record was last updated on Oct 6, 2022.