Individual provider · Type 1 NPI

Jennifer Anthony Roche Ouellette, LCSW

Clinical Social Worker · Brunswick, ME

NPI number 1770137358 Active

Practice location

135 Maine St Ste A423
Brunswick, ME 04011-2098

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC20908 (ME)
Social Worker 104100000XMC18087 (ME)
Clinical Social Worker 1041C0700XNone listed

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 1770137358

Jennifer Anthony Roche Ouellette, LCSW's National Provider Identifier is 1770137358, issued on Jul 31, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brunswick, ME. The record was last updated on Apr 19, 2024.