Individual provider · Type 1 NPI

Laura Marie Malloy, LICSW

Clinical Social Worker · Boston, MA

NPI number 1861634057 Active

Practice location

151 Merrimac St, 4th Floor
Boston, MA 02114-4714

Fax (617) 643-6077

Mailing address

7 Union St # 3
Beverly, MA 01915-5101

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1027813 (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 1861634057

Laura Marie Malloy, LICSW's National Provider Identifier is 1861634057, issued on Apr 2, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Apr 2, 2009.