Individual provider · Type 1 NPI

Tiffany Lewallen, LICSW

Clinical Social Worker · Boston, MA

NPI number 1699056598 Active

Practice location

72 E Dedham St
Boston, MA 02118-2315

Call (617) 292-9200 Map

Mailing address

72 East Dedham St.
Boston, MA 02118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1699056598

Tiffany Lewallen, LICSW's National Provider Identifier is 1699056598, issued on Sep 6, 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 Sep 11, 2014.