WAYSIDE YOUTH & FAMILY SUPPORT NETWORK
NPI 1104977131
Social Worker - Clinical in Malden, MA

Q: What is Wayside Youth & Family Support Network's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since January 16, 2007

22 PLEASANT ST, 2205, MALDEN, MA 02148(781) 338-2640(781) 338-2217 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Wayside Youth & Family Support Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYSIDE YOUTH & FAMILY SUPPORT NETWORK (NPI 1104977131) is a healthcare organization registered as a clinical in Malden, Massachusetts and active in the NPI registry since January 2007. The organization lists Andrea Salzman, Director Of Home Base Program, as its authorized official.

NPPES Registry Identity

NPI1104977131

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameWAYSIDE YOUTH & FAMILY SUPPORT NETWORK

Location Address22 PLEASANT ST, 2205Malden, MA 02148-5119

Mailing Address22 Pleasant St, 2205Malden, MA 02148-5119 · (781) 338-2640 · Fax (781) 338-2217

Phone(781) 338-2640

Fax(781) 338-2217

Organization SubpartNo

Authorized OfficialAndrea SalzmanDirector Of Home Base Program · (781) 891-0556

Enumeration DateJanuary 16, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104977131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MA · 104386

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.

22 PLEASANT ST, Malden, MA 02148

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA CHAVES

Counselor (Mental Health)