Individual provider · Type 1 NPI

John Reardon, LICSW

Clinical Social Worker · Providence, RI

NPI number 1982008231 Active

Practice location

134 Thurbers Ave
Providence, RI 02905-4754

Call (401) 331-1350 Map

Fax (401) 277-3366

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW02479 (RI)

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 1982008231

John Reardon, LICSW's National Provider Identifier is 1982008231, issued on Oct 15, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Oct 15, 2014.