Individual provider · Type 1 NPI
George R. Ingham, LICSW
Clinical Social Worker · Cambridge, MA
Practice location
330 Mount Auburn St
Cambridge, MA 02138-5502
Fax (617) 499-5465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1020911 (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 1922264969
George R. Ingham, LICSW's National Provider Identifier is 1922264969, issued on Jul 30, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cambridge, MA. The record was last updated on Mar 24, 2009.