Individual provider · Type 1 NPI
Carolyn Mirisola, LICSW
Clinical Social Worker · Londonderry, NH
Practice location
2 Blueberry Ln
Londonderry, NH 03053-3640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 126361 (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 1992489637
Carolyn Mirisola, LICSW's National Provider Identifier is 1992489637, issued on Jun 13, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Londonderry, NH. The record was last updated on Jun 13, 2023.