Individual provider · Type 1 NPI

Jay S. Ulrich, LCSW-R

Clinical Social Worker · Malone, NY

NPI number 1104991009 Active

Practice location

209 Park Street, Citizen Advocates
Malone, NY 12953

Fax (518) 483-3383

Mailing address

64 Weller Rd
North Bangor, NY 12966-3714

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR051436-1 (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 1104991009

Jay S. Ulrich, LCSW-R's National Provider Identifier is 1104991009, issued on Nov 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Malone, NY. The record was last updated on Jul 8, 2007.