Individual provider · Type 1 NPI

Ivelisse Vicente, LCSW

Clinical Social Worker · West Springfield, MA

NPI number 1477818532 Active

Practice location

103 Myron St, Suite A
West Springfield, MA 01089-1598

Fax (413) 439-0100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X219916 (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 1477818532

Ivelisse Vicente, LCSW's National Provider Identifier is 1477818532, issued on Jul 5, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Springfield, MA. The record was last updated on Mar 18, 2016.