Individual provider · Type 1 NPI

Kathleen Tata

Clinical Social Worker · Jamaica Plain, MA

NPI number 1972151157 Active

Practice location

555 Amory St Ste 300
Jamaica Plain, MA 02130-2652

Mailing address

1376 Commonwealth Ave Apt 23
Allston, MA 02134-3611

Specialties and licenses

TaxonomyCodeLicense
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 1972151157

Kathleen Tata's National Provider Identifier is 1972151157, issued on Aug 30, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica Plain, MA. The record was last updated on Aug 30, 2019.