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Ms. Diane Joan Dmytryk, LICSW
Clinical Social Worker in Medford, Massachusetts
NPI 1942409362

Diane Joan Dmytryk is a Clinical Social Worker based in Medford, MA and is specialized in Clinical. Diane Joan Dmytryk practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Diane Joan Dmytryk is 1942409362 and holds a License No. 1015702 (Massachusetts).

The current practice location address for Diane Joan Dmytryk is 66 Marston St, Medford, MA and can be reached out via phone at 781-395-5724 and via fax at 484-450-4144.

Location: 66 Marston St, Medford, MA, 02155-4469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942409362
Provider Name
Diane Joan Dmytryk
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
66 Marston St, Medford, MA, 02155-4469
Phone Number
781-395-5724
Fax Number
484-450-4144
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P04659 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
66 Marston St
City
Medford
State
Massachusetts
Zip
02155-4469
Phone Number
781-395-5724
Fax Number
484-450-4144
person
Provider Business Mailing Address Details
Address
66 Marston St
City
Medford
State
Massachusetts
Zip
02155-4469
Phone Number
781-395-5724
Fax Number
484-450-4144
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
1015702 (Massachusetts)
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.
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