Individual provider · Type 1 NPI

Revan Fisher Miles

Clinical Social Worker · Brookline, MA

NPI number 1699875708 Active

Practice location

1180 Beacon St, Suite 7D
Brookline, MA 02446-3885

Mailing address

63 Hartford St
Newton Highlands, MA 02461-1540

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X101464 (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 1699875708

Revan Fisher Miles's National Provider Identifier is 1699875708, issued on Sep 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brookline, MA. The record was last updated on Jul 8, 2007.