Individual provider · Type 1 NPI

Kuriako M. Chacko, LCSW-R

Clinical Social Worker · Bronx, NY

NPI number 1114071826 Active

Practice location

Lincoln Medical And Mental Health Center, 234 E 149th St.
Bronx, NY 10451

Fax (718) 579-5310

Mailing address

187 Hudson Ter
Yonkers, NY 10701-1917

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0611821 (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 1114071826

Kuriako M. Chacko, LCSW-R's National Provider Identifier is 1114071826, issued on Jan 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.