Individual provider · Type 1 NPI

Nicole Bodenrader

Clinical Social Worker · East Walpole, MA

NPI number 1760957419 Active

Practice location

625 Washington St
East Walpole, MA 02032-1338

Mailing address

2 Deer Path Unit 3
Maynard, MA 01754-1490

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X110489-SW-LICSW (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 1760957419

Nicole Bodenrader's National Provider Identifier is 1760957419, issued on Oct 9, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Walpole, MA. The record was last updated on Oct 9, 2018.