Individual provider · Type 1 NPI

Elyse Audrey Simone Chastain-Stultz, LICSW

Clinical Social Worker · Northampton, MA

NPI number 1750996716 Active

Practice location

50 Pleasant St
Northampton, MA 01060-4127

Call (413) 584-6855 Map

Mailing address

81 Depot Rd
Leverett, MA 01054-5404

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X223772 (MA)
Clinical Social Worker 1041C0700X000123290 (MA)
Clinical Social Worker Primary 1041C0700X123290 (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 1750996716

Elyse Audrey Simone Chastain-Stultz, LICSW's National Provider Identifier is 1750996716, issued on Sep 15, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northampton, MA. The record was last updated on Jan 25, 2021.