Individual provider · Type 1 NPI
Theresa Rolande Poulin, LICSW
Clinical Social Worker · New Bedford, MA
Practice location
50 North Second Street
New Bedford, MA 02740
Fax (508) 990-7808
Mailing address
PO Box 80095
South Dartmouth, MA 02748-0095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1031129 (MA) |
| Clinical Social Worker | 1041C0700X | ISWO1372 (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 1912017773
Theresa Rolande Poulin, LICSW's National Provider Identifier is 1912017773, issued on Aug 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Bedford, MA. The record was last updated on Aug 25, 2014.