Individual provider · Type 1 NPI

Mary Ellen Provencher, LICSW

Clinical Social Worker · Westwood, MA

NPI number 1669544235 Active

Practice location

789 Capboardtree St, Harbor Counseling Center
Westwood, MA 02090

Mailing address

16 Clear Pond Drive
Walpole, MA 02081-4310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X100755 (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 1669544235

Mary Ellen Provencher, LICSW's National Provider Identifier is 1669544235, issued on Nov 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westwood, MA. The record was last updated on Jul 8, 2007.