Organization · Type 2 NPI

Nine Lives Sanctuary

Clinical Social Worker · Bronx, NY

NPI number 1154886372 Active

Practice location

1136 Neill Ave
Bronx, NY 10461-1328

Mailing address

PO Box 1069
Bronx, NY 10462-0575

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1154886372

Nine Lives Sanctuary's National Provider Identifier is 1154886372, issued on Feb 1, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 20, 2026.