Individual provider · Type 1 NPI

Mary Devivo

Clinical Social Worker · Mamaroneck, NY

NPI number 1760990634 Active

Practice location

1600 Harrison Ave Ste 307B
Mamaroneck, NY 10543-3151

Mailing address

28 Mountain Ave
Larchmont, NY 10538-1937

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X079459 (NY)

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 1760990634

Mary Devivo's National Provider Identifier is 1760990634, issued on Jan 13, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mamaroneck, NY. The record was last updated on Jan 13, 2018.