Individual provider · Type 1 NPI

Myriad R. Khorasani, LICSW

Clinical Social Worker · Boston, MA

NPI number 1699043232 Active

Practice location

75 Francis St
Boston, MA 02115-6110

Call (617) 732-5500 Map

Mailing address

375 Boylston St
Brookline, MA 02445-6007

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X084611-1 (NY)
Clinical Social Worker Primary 1041C0700X121162 (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 1699043232

Myriad R. Khorasani, LICSW's National Provider Identifier is 1699043232, issued on Dec 10, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jan 28, 2019.