Individual provider · Type 1 NPI
Mallorie Taylor Lara, LICSW
Clinical Social Worker · Manchester, NH
Practice location
149 Hanover St Ste 200
Manchester, NH 03101-2245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 12111273-3501 (UT) |
| Social Worker | 104100000X | 12111273-3502 (UT) |
| Clinical Social Worker Primary | 1041C0700X | 3000 (NH) |
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…
Another provider at this address
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About NPI 1851983274
Mallorie Taylor Lara, LICSW's National Provider Identifier is 1851983274, issued on Feb 8, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manchester, NH. The record was last updated on Jan 24, 2025.