Individual provider · Type 1 NPI

Holly White Gotta, LCSW

Clinical Social Worker · Northport, NY

NPI number 1104965946 Active

Practice location

25 Hayes Hill Dr
Northport, NY 11768-1331

Fax (631) 261-8873

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPRO18166-1 (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 1104965946

Holly White Gotta, LCSW's National Provider Identifier is 1104965946, issued on Feb 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northport, NY. The record was last updated on Jul 8, 2007.