Individual provider · Type 1 NPI

Tara Jean Petrungaro, LCSW

Clinical Social Worker · Lake Ronkonkoma, NY

NPI number 1083134605 Active

Practice location

181 Lorenzo Cir
Lake Ronkonkoma, NY 11779-2279

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X075742-1 (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 1083134605

Tara Jean Petrungaro, LCSW's National Provider Identifier is 1083134605, issued on Jun 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Sep 6, 2022.