Individual provider · Type 1 NPI

Gloria Burth, LCSW

Clinical Social Worker · Elmhurst, NY

NPI number 1104912898 Active

Practice location

75-01 Broadway 3rd Fl
Elmhurst, NY 11373

Fax (718) 478-3844

Mailing address

63-85 Woodhaven Blvd, Apt 6H
Rego Park, NY 11374-4850

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP055498-1 (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 1104912898

Gloria Burth, LCSW's National Provider Identifier is 1104912898, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 8, 2007.