Individual provider · Type 1 NPI

Kyannah M. Depina

Clinical Social Worker · Mattapan, MA

NPI number 1912771676 Active

Practice location

201 River Sreet
Mattapan, MA 02126-2713

Mailing address

372 Chatham West Dr
Brockton, MA 02301-1319

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1912771676

Kyannah M. Depina's National Provider Identifier is 1912771676, issued on Nov 13, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mattapan, MA. The record was last updated on Apr 12, 2024.