Individual provider · Type 1 NPI

Maria Provenznao, LCSW

Clinical Social Worker · Bronx, NY

NPI number 1013328228 Active

Practice location

981 Morris Park Avenue
Bronx, NY 10462

Mailing address

101 Hawkins St
Bronx, NY 10464-1484

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X080206-1 (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…

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About NPI 1013328228

Maria Provenznao, LCSW's National Provider Identifier is 1013328228, issued on May 12, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Mar 11, 2016.