Individual provider · Type 1 NPI

Andy Debaun, LCSW

Clinical Social Worker · Jersey City, NJ

NPI number 1114128246 Active

Practice location

207 Warren St, # 3
Jersey City, NJ 07302-4411

Mailing address

29 W 76th St, Apt. 2
New York, NY 10023-1518

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X069448 (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 1114128246

Andy Debaun, LCSW's National Provider Identifier is 1114128246, issued on May 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jersey City, NJ. The record was last updated on Feb 12, 2016.