Individual provider · Type 1 NPI

Audrey R. Ely, L.I.C.S.W.

Clinical Social Worker · Quincy, MA

NPI number 1417989088 Active

Practice location

859 Willard St, Suite 430
Quincy, MA 02169-7482

Call (617) 847-1976 Map

Fax (617) 786-9894

Mailing address

47 Village Ave, Apt 204
Dedham, MA 02026-4200

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X100333 (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 1417989088

Audrey R. Ely, L.I.C.S.W.'s National Provider Identifier is 1417989088, issued on Jul 6, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Quincy, MA. The record was last updated on Jul 8, 2007.