Individual provider · Type 1 NPI

Katherine Tineo-Komatsu, LCSW

Clinical Social Worker · New York, NY

NPI number 1063910412 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Mailing address

90 La Salle St Apt 14A
New York, NY 10027-4722

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X086508 (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 1063910412

Katherine Tineo-Komatsu, LCSW's National Provider Identifier is 1063910412, issued on Jan 30, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 28, 2023.