Individual provider · Type 1 NPI

Marylyn Dunlap Colburn, LICSW

Clinical Social Worker · West Springfield, MA

NPI number 1497761266 Active

Practice location

1132 Westfield St
West Springfield, MA 01089-3878

Fax (413) 439-0096

Mailing address

160 Old Derby St, Suite 451
Hingham, MA 02043-4005

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X106297 (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 1497761266

Marylyn Dunlap Colburn, LICSW's National Provider Identifier is 1497761266, issued on Jul 31, 2006. 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 Jan 5, 2009.