Individual provider · Type 1 NPI

Tiffany Clark

Clinical Social Worker · Waltham, MA

NPI number 1467934240 Active

Practice location

1430 Main St
Waltham, MA 02451-1623

Mailing address

23 Village Rock Ln Apt 21
Natick, MA 01760-5715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X120811 (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 1467934240

Tiffany Clark's National Provider Identifier is 1467934240, issued on Aug 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waltham, MA. The record was last updated on Aug 29, 2018.