Organization · Type 2 NPI

Tioga County

Clinical Social Worker · Owego, NY

NPI number 1124099700 Active

Practice location

1062 State Route 38
Owego, NY 13827-3209

Call (607) 687-0200 Map

Fax (607) 687-0248

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6893100A/B (NY)
Psychiatry Physician 2084P0800XNone listed
Nurse Practitioner 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

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 1124099700

Tioga County's National Provider Identifier is 1124099700, issued on Jan 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Owego, NY. The record was last updated on Nov 16, 2022.