Individual provider · Type 1 NPI
Nicole A. Vivona
Clinical Social Worker · Oceanside, NY
Practice location
2982 Kenneth Pl
Oceanside, NY 11572-3010
Mailing address
2434 Fox Ave
Baldwin, NY 11510-3413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19440 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 069272 (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 1083810568
Nicole A. Vivona's National Provider Identifier is 1083810568, issued on Jun 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oceanside, NY. The record was last updated on May 9, 2008.