Individual provider · Type 1 NPI

Jill Ellen Bishop Avery, LCSW

Clinical Social Worker · Gardiner, ME

NPI number 1740445147 Active

Practice location

418 Water St
Gardiner, ME 04345-2058

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC11640 (ME)
Social Worker 104100000XLC11640 (ME)

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 1740445147

Jill Ellen Bishop Avery, LCSW's National Provider Identifier is 1740445147, issued on Jul 24, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gardiner, ME. The record was last updated on Nov 26, 2008.