Individual provider · Type 1 NPI

Elisabeth Van Der Kolk, L.I.C.S.W.

Clinical Social Worker · Watertown, MA

NPI number 1487773404 Active

Practice location

23 Main St
Watertown, MA 02472-4403

Call (617) 312-4116 Map

Mailing address

156 Green Street #301
Jamaica Plain, MA 02130

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102645 (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 1487773404

Elisabeth Van Der Kolk, L.I.C.S.W.'s National Provider Identifier is 1487773404, issued on Mar 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Watertown, MA. The record was last updated on Jul 24, 2013.