Individual provider · Type 1 NPI
Ethan Michael Korotzer
Clinical Social Worker · Utica, NY
Practice location
1550 Champlin Ave
Utica, NY 13502-4828
Mailing address
32 Woodstream Ct
New Hartford, NY 13413-2713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 055192 (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 1043975915
Ethan Michael Korotzer's National Provider Identifier is 1043975915, issued on Nov 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Utica, NY. The record was last updated on Nov 4, 2021.