Individual provider · Type 1 NPI

Nicole Marie Tobin, R-LCSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1093852691 Active

Practice location

905 Main St
Port Jefferson, NY 11777-2201

Mailing address

29 Three Sisters Rd
St. James, NY 11780-1218

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X049172-1 (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 1093852691

Nicole Marie Tobin, R-LCSW's National Provider Identifier is 1093852691, issued on Jan 31, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.