Individual provider · Type 1 NPI
Michael Stillman Mayo, LICSW
Clinical Social Worker · Peabody, MA
Practice location
1 Essex Center Dr
Peabody, MA 01960-2901
Mailing address
325 Main St
West Newbury, MA 01985-1418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 122322 (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 1447805700
Michael Stillman Mayo, LICSW's National Provider Identifier is 1447805700, issued on Aug 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peabody, MA. The record was last updated on Feb 3, 2020.