Individual provider · Type 1 NPI

Diane Elise Koller

Clinical Social Worker · Lawrence, MA

NPI number 1801130992 Active

Practice location

599 Canal St
Lawrence, MA 01840-1244

Call (978) 453-5736 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X116369 (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 1801130992

Diane Elise Koller's National Provider Identifier is 1801130992, issued on Nov 15, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrence, MA. The record was last updated on Nov 15, 2012.