Individual provider · Type 1 NPI

Michael Jonathan Mudd, MSW, LICSW

Clinical Social Worker · Worcester, MA

NPI number 1740298470 Active

Practice location

72 Jaques Ave
Worcester, MA 01610-2476

Call (508) 860-1000 Map

Mailing address

150 Crescent St
West Boylston, MA 01583-1032

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X105620 (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 1740298470

Michael Jonathan Mudd, MSW, LICSW's National Provider Identifier is 1740298470, issued on Aug 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Jul 8, 2007.