Individual provider · Type 1 NPI

Kerry Dudek

Clinical Social Worker · Rochester, NY

NPI number 1073063962 Active

Practice location

620 Westfall Rd
Rochester, NY 14620-4610

Mailing address

6952 Fisher Rd
Oakfield, NY 14125-9402

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X093703-1 (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 1073063962

Kerry Dudek's National Provider Identifier is 1073063962, issued on Oct 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rochester, NY. The record was last updated on Oct 4, 2016.