Individual provider · Type 1 NPI
Diane Joan Dmytryk, LICSW
Clinical Social Worker · Medford, MA
Practice location
66 Marston St
Medford, MA 02155-4469
Fax (484) 450-4144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1015702 (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 1942409362
Diane Joan Dmytryk, LICSW's National Provider Identifier is 1942409362, issued on Jul 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, MA. The record was last updated on Jul 16, 2007.