Individual provider · Type 1 NPI

Jacqueline Johnson, LCSW

Clinical Social Worker · Newburgh, NY

NPI number 1003177577 Active

Practice location

633 Gidney Ave, Suite 6
Newburgh, NY 12550-2800

Fax (866) 619-5710

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X078459 (NY)

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 1003177577

Jacqueline Johnson, LCSW's National Provider Identifier is 1003177577, issued on May 31, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newburgh, NY. The record was last updated on May 31, 2012.