Individual provider · Type 1 NPI
Andrea Mattisen, LICSW BCD
Clinical Social Worker · Boston, MA
Practice location
162 Commercial St
Boston, MA 02109-1332
Fax (617) 742-2270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 101700 (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 1912034760
Andrea Mattisen, LICSW BCD's National Provider Identifier is 1912034760, issued on Feb 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.