Individual provider · Type 1 NPI
Carol M. Sussal, LCSW SOLE PROPRIETOR
Clinical Social Worker · Ny, NY
Practice location
222 W 14 St, 12B
Ny, NY 10011-7226
Fax (212) 367-7323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R013809 (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 1164989984
Carol M. Sussal, LCSW SOLE PROPRIETOR's National Provider Identifier is 1164989984, issued on Feb 28, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ny, NY. The record was last updated on Feb 28, 2019.