Individual provider · Type 1 NPI

Mary Ellen Broughton, LCSW

Clinical Social Worker · New Paltz, NY

NPI number 1013067180 Active

Practice location

243 Main St, Suite 203
New Paltz, NY 12561-1325

Call (845) 255-8323 Map

Fax (845) 255-5832

Mailing address

PO Box 357
Gardiner, NY 12525

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR0259181 (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 1013067180

Mary Ellen Broughton, LCSW's National Provider Identifier is 1013067180, issued on Jan 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Paltz, NY. The record was last updated on Aug 16, 2010.