Individual provider · Type 1 NPI

Theodore L. Hernitche Jr., LCSW

Clinical Social Worker · Commack, NY

NPI number 1083724124 Active

Practice location

368 Veterans Memorial Hwy
Commack, NY 11725-4322

Mailing address

180 E Main St, Ste 202
Smithtown, NY 11787-2800

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR038418-1 (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 1083724124

Theodore L. Hernitche Jr., LCSW's National Provider Identifier is 1083724124, issued on Aug 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Commack, NY. The record was last updated on Sep 11, 2017.