Individual provider · Type 1 NPI

Gerald Walter Dwyer, LCSW

Clinical Social Worker · Staten Island, NY

NPI number 1124145958 Active

Practice location

4062 Amboy Rd
Staten Island, NY 10308-2409

Fax (718) 984-0854

Mailing address

12 Grandview Ter
Staten Island, NY 10308-2812

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR054922 (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 1124145958

Gerald Walter Dwyer, LCSW's National Provider Identifier is 1124145958, issued on Mar 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.