Individual provider · Type 1 NPI

Michelle Lauren Ganshaw, LCSW

Clinical Social Worker · Wyandanch, NY

NPI number 1013387299 Active

Practice location

240 Long Island Ave
Wyandanch, NY 11798-3123

Call (631) 782-6200 Map

Mailing address

1 Farmingdale Road
West Babylon, NY 11704

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	089967 (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 1013387299

Michelle Lauren Ganshaw, LCSW's National Provider Identifier is 1013387299, issued on Oct 1, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wyandanch, NY. The record was last updated on Jun 4, 2025.