Individual provider · Type 1 NPI

Tara-Marie Gonzalez, LCSWR

Clinical Social Worker · Hewlett, NY

NPI number 1023090917 Active

Practice location

1234 W Broadway, Suite #4
Hewlett, NY 11557-1929

Call (516) 426-9672 Map

Mailing address

93 Baisley Ave
East Rockaway, NY 11518-1820

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR051143-1 (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 1023090917

Tara-Marie Gonzalez, LCSWR's National Provider Identifier is 1023090917, issued on Nov 16, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hewlett, NY. The record was last updated on Jul 8, 2007.