Individual provider · Type 1 NPI

Carissa Blasius, LCSW

Clinical Social Worker · Stony Brook, NY

NPI number 1013457233 Active

Practice location

139 Main St # C
Stony Brook, NY 11790-1944

Mailing address

PO Box 1303
Stony Brook, NY 11790-0908

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0700391 (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 1013457233

Carissa Blasius, LCSW's National Provider Identifier is 1013457233, issued on Mar 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 7, 2017.