Individual provider · Type 1 NPI

Kristin Boyle Licardi, LCSW

Clinical Social Worker · Brewster, NY

NPI number 1104196997 Active

Practice location

400 Doansburg Rd
Brewster, NY 10509-5902

Call (845) 279-2995 Map

Mailing address

35 Beers Dr
Middletown, NY 10940-4222

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X077858 (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 1104196997

Kristin Boyle Licardi, LCSW's National Provider Identifier is 1104196997, issued on Jan 10, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brewster, NY. The record was last updated on Jan 10, 2012.