Individual provider · Type 1 NPI

Charisse Civil

Clinical Social Worker · Garden City, NY

NPI number 1083144117 Active

Practice location

1399 Franklin Ave
Garden City, NY 11530-7400

Mailing address

667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X095454 (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 1083144117

Charisse Civil's National Provider Identifier is 1083144117, issued on Jun 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Garden City, NY. The record was last updated on Jul 21, 2026.