Individual provider · Type 1 NPI

Tatyana Pukhovich

Clinical Social Worker · Kew Gardens, NY

NPI number 1033352802 Active

Practice location

8002 Kew Gardens Rd
Kew Gardens, NY 11415-3600

Fax (718) 575-0839

Mailing address

2 Manor Ct
New Hyde Park, NY 11040-2110

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X070452-1 (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 1033352802

Tatyana Pukhovich's National Provider Identifier is 1033352802, issued on Apr 9, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kew Gardens, NY. The record was last updated on Apr 9, 2009.