Individual provider · Type 1 NPI
Ellen Ruby, LCSW, CASAC
Clinical Social Worker · Sag Harbor, NY
Practice location
26 Club Ln
Sag Harbor, NY 11963-2112
Fax (631) 725-1769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CASAC2385 (NY) |
| Clinical Social Worker Primary | 1041C0700X | R-028959-1 (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 1164720306
Ellen Ruby, LCSW, CASAC's National Provider Identifier is 1164720306, issued on Mar 12, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sag Harbor, NY. The record was last updated on Mar 12, 2011.