Individual provider · Type 1 NPI

Angela Mendivil, LCSW

Clinical Social Worker · Staten Island, NY

NPI number 1033946355 Active

Practice location

358 Saint Marks Pl
Staten Island, NY 10301-2417

Mailing address

57 1/2 South Ave
Staten Island, NY 10303-1630

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X093232 (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 1033946355

Angela Mendivil, LCSW's National Provider Identifier is 1033946355, issued on Sep 19, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Sep 19, 2024.