Individual provider · Type 1 NPI

Mary Mattice, LCSW

Clinical Social Worker · Pittsfield, MA

NPI number 1700221645 Active

Practice location

359 Fenn St, Administrative Offices
Pittsfield, MA 01201-5261

Fax (413) 448-2198

Mailing address

6302 Markstown Dr Apt A
Tampa, FL 33617-9376

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XSW15557 (FL)
Clinical Social Worker Primary 1041C0700X15557 (FL)

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 1700221645

Mary Mattice, LCSW's National Provider Identifier is 1700221645, issued on May 6, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pittsfield, MA. The record was last updated on Feb 28, 2022.