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Teen Challenge New England Inc
Addiction Medicine (Psychiatry & Neurology) Physician in Brockton, Massachusetts
NPI 1205307576

Teen Challenge New England Inc is an Addiction Medicine (Psychiatry & Neurology) Physician based in Brockton, MA and is specialized in Addiction Medicine. Teen Challenge New England Inc practices in Brockton, MA. The NPI Number for Teen Challenge New England Inc is 1205307576 and holds a License No. (Massachusetts).

The current practice location address for Teen Challenge New England Inc is 1311 Main St, Brockton, MA and can be reached out via phone at 508-408-4378. You can also correspond with Teen Challenge New England Inc through the mailing address at 1311 MAIN ST, BROCKTON, MA - 02301-7109 (mailing address contact number: 508-408-4378).

Location: 1311 Main St, Brockton, MA, 02301-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205307576
Provider Name
Teen Challenge New England Inc
Credential
Provider Entity Type
Organization
Address
1311 Main St, Brockton, MA, 02301-7109
Phone Number
508-408-4378
Fax Number
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110158884A 05 MA
institution
Provider Business Practice Location Address Details
Address
1311 Main St
City
Brockton
State
Massachusetts
Zip
02301-7109
Phone Number
508-408-4378
Fax Number
person
Provider Business Mailing Address Details
Address
1311 Main St
City
Brockton
State
Massachusetts
Zip
02301-7109
Phone Number
508-408-4378
Fax Number
508-825-3242
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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