Individual provider · Type 1 NPI

Juan C. Olmedo, LCSW

Clinical Social Worker · New York, NY

NPI number 1013158914 Active

Practice location

412 W 25th St Apt 1B
New York, NY 10001-6542

Mailing address

159 Madison Ave Apt 3I
New York, NY 10016-5434

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X72078317 (NY)
Clinical Social Worker Primary 1041C0700X080639 (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 1013158914

Juan C. Olmedo, LCSW's National Provider Identifier is 1013158914, issued on Mar 23, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Apr 30, 2014.