Individual provider · Type 1 NPI
Tanya Modoono Bowlby, LCSW
Clinical Social Worker · Quincy, MA
Practice location
1120 Hancock St
Quincy, MA 02169-4313
Mailing address
295 E Spring St
Avon, MA 02322-1903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW229540 (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 1679469100
Tanya Modoono Bowlby, LCSW's National Provider Identifier is 1679469100, issued on Jun 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Quincy, MA. The record was last updated on Jun 12, 2025.