Organization · Type 2 NPI

Light Street Psychotherapy LLC

Clinical Social Worker · Short Hills, NJ

NPI number 1013473578 Active

Practice location

748 Morris Tpke Ste 209
Short Hills, NJ 07078-2617

Mailing address

7 White Oak Dr
Livingston, NJ 07039-1220

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1013473578

Light Street Psychotherapy LLC's National Provider Identifier is 1013473578, issued on Feb 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Short Hills, NJ. The record was last updated on Feb 20, 2019.