Organization · Type 2 NPI

Sondermind Provider Network LLC

Clinical Social Worker · Boston, MA

NPI number 1417800293 Active

Practice location

90 Canal St Ste 4
Boston, MA 02114-2022

Call (844) 843-7279 Map

Mailing address

PO Box 738012
Dallas, TX 75373-8012

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Psychologist	103T00000X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed
Psychiatry Physician	2084P0800X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None 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 1417800293

Sondermind Provider Network LLC's National Provider Identifier is 1417800293, issued on Feb 19, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Feb 19, 2026.