Individual provider · Type 1 NPI

Kelly Fournier, LICSW

Clinical Social Worker · Boston, MA

NPI number 1750379780 Active

Practice location

732 Harrison Ave, Preston Family Building 2nd Floor
Boston, MA 02118-2309

Fax (617) 638-7449

Mailing address

720 Harrison Ave, Dob 503
Boston, MA 02118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X116940 (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 1750379780

Kelly Fournier, LICSW's National Provider Identifier is 1750379780, issued on Oct 13, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jan 29, 2015.