Individual provider · Type 1 NPI
Patricia A. Dematteo, LCSW
Clinical Social Worker · Ithaca, NY
Practice location
415 N Tioga St
Ithaca, NY 14850-4228
Mailing address
508 Linn St
Ithaca, NY 14850-3763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R020690 (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…
4 other providers at this address
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About NPI 1104827344
Patricia A. Dematteo, LCSW's National Provider Identifier is 1104827344, issued on Aug 10, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Jul 13, 2026.