Individual provider · Type 1 NPI

Marylou Masterpole, LICSW

Clinical Social Worker · West Springfield, MA

NPI number 1619996667 Active

Practice location

1132 Westfield St
West Springfield, MA 01089-3878

Call (413) 592-1980 Map

Fax (413) 439-0096

Mailing address

79 Church St
Watertown, MA 02472-3839

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X104712 (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 1619996667

Marylou Masterpole, LICSW's National Provider Identifier is 1619996667, issued on Jul 19, 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 Jul 8, 2007.