Individual provider · Type 1 NPI

Angela Colegrove

Clinical Social Worker · Elmira, NY

NPI number 1053016063 Active

Practice location

1316 College Ave
Elmira, NY 14901-1169

Mailing address

76 Veterans Ave
Bath, NY 14810-0810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X082793 (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 1053016063

Angela Colegrove's National Provider Identifier is 1053016063, issued on Mar 31, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmira, NY. The record was last updated on Mar 31, 2023.