Organization · Type 2 NPI

Revive Psychotherapy LLC

Clinical Social Worker · Natick, MA

NPI number 1699651562 Active

Practice location

21 Eisenhower Ave
Natick, MA 01760-2946

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 1699651562

Revive Psychotherapy LLC's National Provider Identifier is 1699651562, issued on Aug 14, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Natick, MA. The record was last updated on Aug 14, 2025.