Individual provider · Type 1 NPI

Elizabeth Prostak, LCSW

Clinical Social Worker · Brockton, MA

NPI number 1982147526 Active

Practice location

20 Meadowbrook Rd
Brockton, MA 02301-7122

Mailing address

14 Fordham Rd
Allston, MA 02134-3000

Other practice locations

  • 14 Fordham Rd, Allston, MA 02134-3000 · (617) 782-6460
  • 680 Centre St, Brockton, MA 02302-3308 · (508) 941-7150

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X000226675 (MA)
Clinical Social Worker Primary 1041C0700X126846 (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 1982147526

Elizabeth Prostak, LCSW's National Provider Identifier is 1982147526, issued on Nov 30, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Dec 30, 2024.