Individual provider · Type 1 NPI

Robert David Polin, LCSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1104964410 Active

Practice location

646 Main St, Lower Level
Port Jefferson, NY 11777

Call (631) 689-8862 Map

Fax (631) 246-6492

Mailing address

117 Gnarled Hollow Road
East Setauket, NY 11733

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR0233061 (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 1104964410

Robert David Polin, LCSW's National Provider Identifier is 1104964410, issued on Feb 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.