Organization · Type 2 NPI

Psychiatry Services of New York, P.c.

Clinical Social Worker · Syracuse, NY

NPI number 1104619352 Active

Practice location

3300 James St Ste 101
Syracuse, NY 13206-2392

Mailing address

1 Optum Cir
Eden Prairie, MN 55344-2956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1104619352

Psychiatry Services of New York, P.c.'s National Provider Identifier is 1104619352, issued on May 28, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Feb 16, 2026.