Individual provider · Type 1 NPI

Suzana Gertrudes, LICSW

Clinical Social Worker · Providence, RI

NPI number 1770534356 Active

Practice location

261 Wickenden St
Providence, RI 02903-4422

Mailing address

204B Governor St
Providence, RI 02906-3246

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW01522 (RI)

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 1770534356

Suzana Gertrudes, LICSW's National Provider Identifier is 1770534356, issued on May 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.