Organization · Type 2 NPI

The Marion and Aaron Gural JCC Inc

Clinical Social Worker · Cedarhurst, NY

NPI number 1104870203 Active

Practice location

207 Grove Ave.
Cedarhurst, NY 11516

Fax (516) 569-6917

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	0558111 (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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NPI record

NPI: 1104870203
Entity type: Organization (Type 2)
Issued: May 22, 2006
Last updated: Sep 18, 2025
Status: Active

Other names

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JCC of the Greater Five Towns Inc · doing business as
JCC of the Greater Five Towns Inc · doing business as

Authorized official

Mr. Robert Daniels
CFO
(516) 569-6733

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About NPI 1104870203

The Marion and Aaron Gural JCC Inc's National Provider Identifier is 1104870203, issued on May 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cedarhurst, NY. The record was last updated on Sep 18, 2025.