Individual provider · Type 1 NPI

Jack Mangold, LCSW-C

Clinical Social Worker · Bethesda, MD

NPI number 1679781017 Active

Practice location

4804 Montgomery Ln
Bethesda, MD 20814-5302

Mailing address

7001 Maple Ave
Chevy Chase, MD 20815-5111

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11074 (MD)

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 1679781017

Jack Mangold, LCSW-C's National Provider Identifier is 1679781017, issued on May 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bethesda, MD. The record was last updated on Jul 8, 2007.