Individual provider · Type 1 NPI

Phillip Samuel-Siegel, L.C.S.W.

Clinical Social Worker · Boonton, NJ

NPI number 1043372030 Active

Practice location

130 Powerville Rd
Boonton, NJ 07005-8705

Call (973) 316-1869 Map

Fax (973) 316-1920

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05268300 (NJ)

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 1043372030

Phillip Samuel-Siegel, L.C.S.W.'s National Provider Identifier is 1043372030, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boonton, NJ. The record was last updated on Jul 8, 2007.