Individual provider · Type 1 NPI
Michele Dervartanian, LICSW
Clinical Social Worker · Waltham, MA
Practice location
118 Central Street
Waltham, MA 02453
Mailing address
119 Medford St
Arlington, MA 02474-3117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 216010 (MA) |
| Clinical Social Worker Primary | 1041C0700X | 116564 (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 1871895789
Michele Dervartanian, LICSW's National Provider Identifier is 1871895789, issued on Nov 29, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waltham, MA. The record was last updated on Apr 17, 2014.