Individual provider · Type 1 NPI

Jerry Frank Maiello Jr., LCSW

Clinical Social Worker · Ballston Lake, NY

NPI number 1124053897 Active

Practice location

331 Ushers Road, Northway 10 Professional Park
Ballston Lake, NY 12019

Fax (518) 437-6565

Mailing address

PO. Box 873, Clifton Park
New York, NY 12065-5013

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPR024915-1 (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 1124053897

Jerry Frank Maiello Jr., LCSW's National Provider Identifier is 1124053897, issued on Jul 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ballston Lake, NY. The record was last updated on Jul 8, 2007.