Individual provider · Type 1 NPI

Diane Carol Hagerdon, LCSW-R

Clinical Social Worker · Rochester, NY

NPI number 1013107085 Active

Practice location

100 Allens Creek Rd
Rochester, NY 14618-3303

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	048910 (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 1013107085

Diane Carol Hagerdon, LCSW-R's National Provider Identifier is 1013107085, issued on Jul 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rochester, NY. The record was last updated on Mar 4, 2008.