Individual provider · Type 1 NPI

Jackqueline Anne Merulla, LCSW-R

Clinical Social Worker · Syracuse, NY

NPI number 1043590730 Active

Practice location

404 Oak Street Street, Suite 200
Syracuse, NY 13203-2997

Call (315) 703-0168 Map

Fax (315) 299-2530

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X083923-1 (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 1043590730

Jackqueline Anne Merulla, LCSW-R's National Provider Identifier is 1043590730, issued on Aug 25, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Aug 7, 2020.