Individual provider · Type 1 NPI

Andrew James Fidurko, LCSW

Clinical Social Worker · Oswego, NY

NPI number 1003452939 Active

Practice location

29 E Cayuga St
Oswego, NY 13126-1241

Call (315) 326-4100 Map

Mailing address

110 W 6th St
Oswego, NY 13126-2507

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X081157 (NY)
Clinical Social Worker Primary 1041C0700X095297 (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 1003452939

Andrew James Fidurko, LCSW's National Provider Identifier is 1003452939, issued on Nov 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oswego, NY. The record was last updated on Oct 16, 2023.