Individual provider · Type 1 NPI
Gabrielle Fasano, LCSW
Clinical Social Worker · Setauket, NY
Practice location
46 Route 25A Ste 3
Setauket, NY 11733-2806
Mailing address
20 Wyckoff Ave
Port Jefferson Station, NY 11776-1420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 9909281 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 091924 (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…
2 other providers at this address
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About NPI 1093223455
Gabrielle Fasano, LCSW's National Provider Identifier is 1093223455, issued on Jan 18, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Setauket, NY. The record was last updated on Jun 3, 2023.