Organization · Type 2 NPI

Phoenix Rising Therapeutic Services LCSW PC

Clinical Social Worker · Alfred Station, NY

NPI number 1003295395 Active

Practice location

5295 E Valley Rd
Alfred Station, NY 14803-9715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR045595-1 (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…

About NPI 1003295395

Phoenix Rising Therapeutic Services LCSW PC's National Provider Identifier is 1003295395, issued on May 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alfred Station, NY. The record was last updated on May 20, 2015.