Individual provider · Type 1 NPI
Richard Wallace Koffler, CASAC
Clinical Social Worker · Bayside, NY
Practice location
1666 Bell Blvd Apt 724
Bayside, NY 11360-1656
Fax (718) 428-2705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R069801 (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 1154494102
Richard Wallace Koffler, CASAC's National Provider Identifier is 1154494102, issued on Nov 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bayside, NY. The record was last updated on Apr 16, 2024.