Organization · Type 2 NPI

Counseling Space, LCSW P.c.

Clinical Social Worker · Forest Hills, NY

NPI number 1124411061 Active

Practice location

7050 Austin St, 113 Lower Level
Forest Hills, NY 11375-4737

Mailing address

3533 98th St
Corona, NY 11368-1860

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X076422 (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 1124411061

Counseling Space, LCSW P.c.'s National Provider Identifier is 1124411061, issued on Mar 17, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 17, 2015.