Individual provider · Type 1 NPI

Jacki Rondinella

Clinical Social Worker · Forest Hills, NY

NPI number 1174087159 Active

Practice location

10470 Queens Blvd Ste 200
Forest Hills, NY 11375-3694

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X097420 (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 1174087159

Jacki Rondinella's National Provider Identifier is 1174087159, issued on Jan 24, 2019. 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 Jun 17, 2025.